IRAKLY PATARAIA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1780051490
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Provider Addresses for IRAKLY PATARAIA (DPM)
2500 E HALLANDALE BEACH BLVD STE 811
HALLANDALE BEACH, FL 330094841
Phone: (224) 616-1952
Type: Location
1445 Shermer Rd Apt 5A
Northbrook, IL 600625325
Phone: (815) 463-0098
Fax: (815) 462-4955
Type: Location
3514 Mermaid Ave Ste 4
Brooklyn, NY 112241510
Phone: (224) 616-1952
Type: Location
1445 SHERMER RD APT 5A
NORTHBROOK, IL 600625325
Phone: (815) 463-0098
Fax: (815) 462-4955
Type: Location
PO BOX 369
NEW LENOX, IL 604510369
Phone: (815) 463-0098
Fax: (815) 462-4955
Type: Mailing
4646 N MARINE DR
CHICAGO, IL 606405759
Phone: (773) 878-8700
Type: Mailing
5762 SW 60TH AVE
OCALA, FL 344745677
Phone: (516) 792-0070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Orthofix Medical, Inc. ($113).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $113 |
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: 2024-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240718002945 | I | Podiatry | FL | TBD |
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.
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 33009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | FL | |
| P O D I A T R Y | MA | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | MD | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | NJ |
Reviews
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