IVELISSE ROSA (DPM) – Foot Surgery Podiatrist, NPI 1689764995

IVELISSE ROSA (DPM) is a healthcare provider. based in The villages, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00288300 (NJ). The NPI Number for IVELISSE ROSA (DPM) is 1689764995

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
IVELISSE ROSA (DPM)
NPI
1689764995
Phone
(352) 259-1919
Address
1585 SANTA BARBARA BLVD
Enumeration Date
15 October 2006
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3522591919
Graduation Year
2004 (22 years ago)
PAC ID
8628088929
Group Practice PAC ID
6800810227
Professional Enrollment ID
I20101216000089
Address ID
FL321636000TH340XXWAYX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for IVELISSE ROSA (DPM)

  • 1585 SANTA BARBARA BLVD

    SUITE B

    THE VILLAGES, FL 321596820

    Phone: (352) 259-1919

    Fax: (352) 259-2042

    Type: Mailing

  • 340 HEALD WAY BLDG 100

    THE VILLAGES, FL 321636087

    Phone: (352) 259-1919

    Fax: (352) 259-2042

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: IBSA Pharma Inc. ($22).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

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: 2010-12-16

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
I20101216000089IPodiatryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes818477$0
11720Removal of fingernails or toenails, 1-5 nails711217$0
G0127Trimming of dystrophic nails, any number681194$0
73630X-ray of foot, minimum of 3 views315243$0
11721Removal of fingernails or toenails, 6 or more nails297108$0
View full utilization report →

Insurance plans in this area (ZIP 32159)

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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: 6800810227View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
P O D I A T R YPA
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the registry number for IVELISSE ROSA (DPM)?
The registry entry for IVELISSE ROSA (DPM) shows NPI 1689764995.
Is IVELISSE ROSA (DPM)'s NPI status active today?
Active status means IVELISSE ROSA (DPM)'s NPI record is not deactivated in the public file.
What services align with IVELISSE ROSA (DPM)'s listing?
IVELISSE ROSA (DPM)'s public classification highlights Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to IVELISSE ROSA (DPM)?
IVELISSE ROSA (DPM) shows a connection to The Villages, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.