Individual provider Active NPI

Macalee Harlis Jr., D.P.M

  • Podiatrist
  • Port Saint Lucie, FL
National Provider Identifier
1992156327
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4038 Issued in FL
Practice address
1680 SE Lyngate Dr Ste 201
Port Saint Lucie, FL 34952-4300
Phone
(772) 210-3339
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4038 FL Primary

Addresses

Primary practice location

1680 SE Lyngate Dr Ste 201
Port Saint Lucie, FL 34952-4300

Mailing address

1680 SE Lyngate Dr Ste 201
Port Saint Lucie, FL 34952-4300
Phone (772) 210-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614000046 FL Practitioner - Podiatry 8426381930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlis Family Foot and Ankle LLCGroup PAC ID 9830596709, 3 clinicians

Practice addresses (Care Compare)

1680 SE Lyngate Dr
Suite 201
Port Saint Lucie, FL 34952-4300
Phone 77221033390000

Hospital & facility affiliations

  • The Roads Home Health Palm Beach Home health agency, West Palm Beach, FL, CCN 109344
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of nail tissue741
Removal or shaving of skin growth715
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harlis Family Foot and Ankle LLC Podiatrist CurrentSince Jun 15, 2021 Accepting new patients
Harlis Family Foot and Ankle LLC CurrentSince Nov 3, 2024 Accepting new patients
Foot & Ankle Centers of Charlotte County PastSince Jul 1, 2019 Accepting new patients

Locations

7300 Oleander Ave
Port St Lucie, FL 34952
Phone (772) 464-5911

1310 SE West Star Ave
Port St Lucie, FL 34952
Phone (772) 335-7171

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1655 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 337-1333

1680 SE Lyngate Dr
Ste 201
Port St Lucie, FL 34952
Phone (772) 335-9808

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

475 NW Prima Vista Blvd
Ste 209
Port St Lucie, FL 34983
Phone 77221033390000

500 SE Indian St
Ste 1001
Stuart, FL 34997

2170 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 683-3333

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1992156327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-210-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-210-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIS",
        "first_name": "MACALEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.