PODIATRY ASSOCIATES OF FLORIDA INC
NPI 1083715502
Podiatrist - Foot & Ankle Surgery in Orange Park, FL

Q: What is Podiatry Associates Of Florida Inc's NPI number?

The NPI number for Podiatry Associates Of Florida Inc is 1083715502. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider was formerly known as Podiatry Associates Of Northeast Florida Inc.

Q: What is Podiatry Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since September 26, 2006

2140 KINGSLEY AVE, STE 12, ORANGE PARK, FL 32073(904) 272-7070(904) 272-3668 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2021, Jun 7, 2021, Mar 15, 2019 and 1 more (4 updates tracked since 2017).

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About Podiatry Associates Of Florida Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PODIATRY ASSOCIATES OF FLORIDA INC (NPI 1083715502), doing business as Podiatry Associates Of Northeast Florida Inc, is a healthcare organization registered as a foot & ankle surgery in Orange Park, Florida and active in the NPI registry since September 2006. The organization maintains 2 additional practice locations and lists Jeannie M Baskin, Corporate Administrator, as its authorized official.

NPPES Registry Identity

NPI1083715502

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePODIATRY ASSOCIATES OF FLORIDA INC

Location Address2140 KINGSLEY AVE, STE 12Orange Park, FL 32073-5180

Mailing Address5911 Timuquana Rd Unit 300Jacksonville, FL 32210-7897 · (904) 251-5053 · Fax (904) 224-2002

Phone(904) 272-7070

Fax(904) 272-3668

Organization SubpartNo

Authorized OfficialJeannie M BaskinCorporate Administrator · (904) 251-5053

Enumeration DateSeptember 26, 2006

Last NPPES UpdateOctober 5, 20214 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1083715502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedPodiatristTaxonomy 213E00000X

2140 KINGSLEY AVE, Orange Park, FL 32073

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Other Names 1

Former Legal Business NamePodiatry Associates Of Northeast Florida Inc

Secondary Practice Locations 2

Location 11914 Southside Blvd Ste 1Jacksonville, FL 32216-1997 · Phone (904) 251-5053 · Fax (904) 224-2002

Location 29400 Gladiolus Dr Ste 100Fort Myers, FL 33908-6698 · Phone (904) 272-7070 · Fax (904) 272-3668

Other Identifiers 7

Medicaid390364800FL

OtherP00442507Railroad Medicare

Other480026736Railroad Medicare

Other87629Blue Cross Blue Shield

Other480030919Railroad Medicare

Other65490Blue Cross Blue Shield

OtherCI4974FL · Medicare

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Podiatry Associates Of Florida Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Podiatry Associates Of Florida Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (16)

Kathryn Cecere, DPM

Podiatry

NPI 1598228710

2140 KINGSLEY AVE STE 12
Orange Park, FL 32073

(904) 272-7070

✔ PECOS✔ Accepts MedicareSame address

Anish Amin, DPM

Podiatry

NPI 1265819700

5911 TIMUQUANA RD UNIT 300
Jacksonville, FL 32210

(904) 778-3000

✔ PECOS5.8 mi

Harold Cesar, DPM

Podiatry

NPI 1891010344

5911 TIMUQUANA RD UNIT 300
Jacksonville, FL 32210

(904) 778-3000

✔ PECOS✔ Accepts Medicare5.8 mi

Timothy Tillo, D.P.M.

Podiatry

NPI 1154385029

12276 SAN JOSE BLVD STE 606
Jacksonville, FL 32223

(904) 224-2001

✔ PECOS6.5 mi

Bradley Herbst, DPM

Podiatry

NPI 1750356127

12276 SAN JOSE BLVD STE 606
Jacksonville, FL 32223

(904) 268-6993

✔ PECOS✔ Accepts Medicare6.5 mi

Mark Matey, DPM

Podiatry

NPI 1306833587

13241 BARTRAM PARK BLVD SUITE 1809
Jacksonville, FL 32258

(904) 268-3686

✔ PECOS✔ Accepts Medicare12 mi

Robert Yant, D.P.M.

Podiatry

NPI 1700840667

1914 SOUTHSIDE BLVD STE 1
Jacksonville, FL 32216

(904) 726-9901

✔ PECOS✔ Accepts Medicare15 mi

Diandra Gordon, DPM

Podiatry

NPI 1548571060

1629 REDSTONE CT
St Augustine, FL 32092

(904) 534-7061

✔ PECOS✔ Accepts Medicare15 mi

Vikram Bala, DPM

Podiatry

NPI 1518490069

1760 EDGEWOOD AVE W # 1
Jacksonville, FL 32208

(904) 731-3131

✔ PECOS✔ Accepts Medicare16 mi

Efstratios Lagoutaris, DPM

Podiatry

NPI 1194717595

1361 13TH AVE S STE 12
Jacksonville Beach, FL 32250

(904) 241-2655

✔ PECOS22 mi

Wesley Jackson

Podiatry

NPI 1285085357

1361 13TH AVE S STE 120
Jacksonville Beach, FL 32250

(904) 241-2655

✔ PECOS✔ Accepts Medicare22 mi

Beth Pearce, DPM

Podiatry

NPI 1568432722

ONE ORTHOPAEDIC PLACE
St Augustine, FL 32086

(904) 825-0540

✔ PECOS✔ Accepts Medicare33 mi

Matthew Martincevic, DPM

Podiatry

NPI 1477896215

15815 SHADDOCK DR STE 130
Winter Garden, FL 34787

(407) 605-2321

✔ PECOS✔ Accepts Medicare118 mi

Asma Khan, DPM

Podiatry

NPI 1659518264

4625 E BAY DR STE 106
Clearwater, FL 33764

(737) 550-8401

✔ PECOS166 mi

Peter Walimire, DPM

Podiatry

NPI 1518288778

13782 PLANTATION RD STE 103
Fort Myers, FL 33912

(239) 204-5602

✔ PECOS✔ Accepts Medicare250 mi

Jessica Andrews, DPM

Podiatry

NPI 1437670569

9400 GLADIOLUS DR STE 100
Fort Myers, FL 33908

(239) 899-1041

✔ PECOS✔ Accepts Medicare251 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Podiatry Associates Of Florida Inc's NPI number?

The NPI number for Podiatry Associates Of Florida Inc is 1083715502. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider was formerly known as Podiatry Associates Of Northeast Florida Inc.

Where is Podiatry Associates Of Florida Inc located?

Podiatry Associates Of Florida Inc is located at 2140 Kingsley Ave Ste 12, Orange Park, FL 32073. The listed phone number is (904) 272-7070.

What is Podiatry Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Podiatry Associates Of Florida Inc enrolled in Medicare?

Yes. Podiatry Associates Of Florida Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Podiatry Associates Of Florida Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Podiatry, reassign their Medicare billing to Podiatry Associates Of Florida Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Podiatry Associates Of Florida Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Podiatry Associates Of Florida Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Podiatry Associates Of Florida Inc was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.