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PODIATRY ASSOCIATES OF FLORIDA INC
NPI 1417137183
Podiatrist in Jacksonville, FL

Active since November 09, 2007
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210(904) 251-5053(904) 224-2002 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2021, May 26, 2017 (2 updates tracked since 2017).

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 1417137183), doing business as Podiatry Associates Of Northeast Florida Inc, is a healthcare organization registered as a podiatrist in Jacksonville, Florida and active in the NPI registry since November 2007. The organization lists Jeannie M Baskin, Corporate Administrator, as its authorized official.

NPPES Registry Identity

NPI1417137183
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePODIATRY ASSOCIATES OF FLORIDA INC
Location Address5911 TIMUQUANA RD UNIT 300Jacksonville, FL 32210-7897
Mailing Address5911 Timuquana Rd Unit 300Jacksonville, FL 32210-7897 · (904) 251-5053 · Fax (904) 224-2002
Phone(904) 251-5053
Fax(904) 224-2002
Organization SubpartNo
Authorized OfficialJeannie M BaskinCorporate Administrator · (904) 251-5053
Enumeration DateNovember 9, 2007
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1417137183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5911 TIMUQUANA RD UNIT 300, Jacksonville, FL 32210
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Other Names 1

Former Legal Business NamePodiatry Associates Of Northeast Florida Inc

Other Identifiers 7

OtherCI4974FL · Railroad Medicare
Other87629Blue Cross Blue Shield
Other65490Blue Cross Blue Shield
Other480026736Railroad Medicare
Other480030919Railroad Medicare
Other65967Blue Cross Blue Shield
OtherP00442507Railroad Medicare

Group Practice 1

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

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

16

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, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (16)

Anish Amin, DPM
Podiatry
NPI 1265819700
5911 TIMUQUANA RD UNIT 300
Jacksonville, FL 32210
(904) 778-3000
✔ PECOSSame address
Harold Cesar, DPM
Podiatry
NPI 1891010344
5911 TIMUQUANA RD UNIT 300
Jacksonville, FL 32210
(904) 778-3000
✔ PECOS✔ Accepts MedicareSame address
Kathryn Cecere, DPM
Podiatry
NPI 1598228710
2140 KINGSLEY AVE STE 12
Orange Park, FL 32073
(904) 272-7070
✔ 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
✔ PECOS9.2 mi
Bradley Herbst, DPM
Podiatry
NPI 1750356127
12276 SAN JOSE BLVD STE 606
Jacksonville, FL 32223
(904) 268-6993
✔ PECOS✔ Accepts Medicare9.3 mi
Vikram Bala, DPM
Podiatry
NPI 1518490069
1760 EDGEWOOD AVE W # 1
Jacksonville, FL 32208
(904) 731-3131
✔ PECOS✔ Accepts Medicare9.9 mi
Robert Yant, D.P.M.
Podiatry
NPI 1700840667
1914 SOUTHSIDE BLVD STE 1
Jacksonville, FL 32216
(904) 726-9901
✔ PECOS✔ Accepts Medicare11 mi
Mark Matey, DPM
Podiatry
NPI 1306833587
13241 BARTRAM PARK BLVD SUITE 1809
Jacksonville, FL 32258
(904) 268-3686
✔ PECOS✔ Accepts Medicare14 mi
Diandra Gordon, DPM
Podiatry
NPI 1548571060
1629 REDSTONE CT
St Augustine, FL 32092
(904) 534-7061
✔ PECOS✔ Accepts Medicare18 mi
Efstratios Lagoutaris, DPM
Podiatry
NPI 1194717595
1361 13TH AVE S STE 12
Jacksonville Beach, FL 32250
(904) 241-2655
✔ PECOS20 mi
Wesley Jackson
Podiatry
NPI 1285085357
1361 13TH AVE S STE 120
Jacksonville Beach, FL 32250
(904) 241-2655
✔ PECOS✔ Accepts Medicare20 mi
Beth Pearce, DPM
Podiatry
NPI 1568432722
ONE ORTHOPAEDIC PLACE
St Augustine, FL 32086
(904) 825-0540
✔ PECOS✔ Accepts Medicare37 mi
Matthew Martincevic, DPM
Podiatry
NPI 1477896215
15815 SHADDOCK DR STE 130
Winter Garden, FL 34787
(407) 605-2321
✔ PECOS✔ Accepts Medicare123 mi
Asma Khan, DPM
Podiatry
NPI 1659518264
4625 E BAY DR STE 106
Clearwater, FL 33764
(737) 550-8401
✔ PECOS172 mi
Peter Walimire, DPM
Podiatry
NPI 1518288778
13782 PLANTATION RD STE 103
Fort Myers, FL 33912
(239) 204-5602
✔ PECOS✔ Accepts Medicare255 mi
Jessica Andrews, DPM
Podiatry
NPI 1437670569
9400 GLADIOLUS DR STE 100
Fort Myers, FL 33908
(239) 899-1041
✔ PECOS✔ Accepts Medicare257 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 1417137183. It was assigned to this organization in the NPPES registry on November 9, 2007. 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 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210. The listed phone number is (904) 251-5053.

What is Podiatry Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

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, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Podiatry Associates Of Florida Inc was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.