Jefferson Mennuti, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SCOO5766 Issued in PA

Practice address

1319 S International Pkwy
Sute 1161
Lake Mary, FL 32746-1408

Phone

(407) 391-3344

NPI assigned

Feb 9, 2009

Last updated

Jul 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Temple University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• On2Feet, L.L.C.

  • Podiatrist
  • Lake Mary, FL
  • NPI 1750725164
  Medicare reassignment Authorized official

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

• Central Florida Regional Hospital, Inc

  dba HCA Florida Lake Monroe Hospital

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908
  Care Compare affiliation

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1992944342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S INTERNATIONAL PKWY",
            "address_2": "SUTE 1161",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461408",
            "telephone_number": "407-391-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S INTERNATIONAL PKWY",
            "address_2": "SUTE 1161",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461408",
            "telephone_number": "407-391-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNUTI",
        "first_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SCOO5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram P Mehta, M.D.
• Paige Meisberger, RBT
• Lisa Kristen Mello, COTA
• Melisbeth Mendez
• Cynthia Esperanza Mendoza, BEHAVIOR TECHNICIAN
• Carlos Mercado, M.D.
• Jose David Mercado, M.D.
• Serey Karan Merchant, PHMNP
• Minerve Meriseme
• Luna Mersier

• Foot & Ankle Surgery Podiatrist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.