DR. ANITA MISRA GOULART (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1083290662

DR. ANITA MISRA GOULART (DPM) is a healthcare provider. based in Lake mary, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4562 (FL). The NPI Number for DR. ANITA MISRA GOULART (DPM) is 1083290662

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANITA MISRA GOULART (DPM)
NPI
1083290662
Phone
(407) 323-2566
Address
925 Williston Park Pt Ste 1009
Enumeration Date
23 March 2021
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3862700659
Graduation Year
2021 (5 years ago)
PAC ID
7012326150
Group Practice PAC ID
9436235645
Professional Enrollment ID
I20240605001488
Address ID
FL321687325NE508XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. ANITA MISRA GOULART (DPM)

  • 925 Williston Park Pt Ste 1009

    Lake Mary, FL 327462114

    Phone: (407) 323-2566

    Fax: (407) 369-3415

    Type: Location

  • 925 WILLISTON PARK PT STE 1009

    LAKE MARY, FL 327462114

    Phone: (407) 323-2566

    Fax: (407) 369-3415

    Type: Mailing

  • 774 SW 107TH AVE

    PEMBROKE PINES, FL 330256923

    Phone: (904) 502-2890

    Type: Mailing

  • 703 N FLAMINGO RD

    PEMBROKE PINES, FL 33025

    Phone: (954) 844-1404

    Type: Location

  • 75 FOX RIDGE CT STE H

    DEBARY, FL 327132701

    Phone: (386) 668-2663

    Fax: (386) 668-9561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $4,794.

Total Amount is formed as General ($4,794) + Research ($0) + Ownership ($0) = $4,794.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($4,032).

Total Amount

$4,794

General + Research + Ownership

Payments

51

Total payment records

General Amount

$4,794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240605001488IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436235645View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
Nurse PractitionerAR
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

Does DR. ANITA MISRA GOULART (DPM) have a public NPI I can cite?
Public records show DR. ANITA MISRA GOULART (DPM) under NPI 1083290662.
Does the public listing show DR. ANITA MISRA GOULART (DPM) as active?
DR. ANITA MISRA GOULART (DPM)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. ANITA MISRA GOULART (DPM)?
NPPES ties DR. ANITA MISRA GOULART (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANITA MISRA GOULART (DPM)?
DR. ANITA MISRA GOULART (DPM) is associated with Lake Mary, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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