South Florida Foot & Ankle Centers – Podiatrist, NPI 1164525267
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for South Florida Foot & Ankle Centers
1420 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 349861709
Phone: (561) 793-6170
Type: Location
1100 S Main St
Belle Glade, FL 334304910
Phone: (561) 993-9968
Type: Location
3375 Burns Rd Ste 107
Palm Beach Gardens, FL 334104360
Phone: (561) 691-4682
Type: Location
3618 Lantana Rd Ste 102
Lake Worth, FL 334622247
Phone: (561) 967-4999
Type: Location
11412, Okeechobee Boulevard, Royal Palm Beach, Palm Beach County, Florida, 33411, United States
ROYAL PALM BEACH, FL 334118722
Phone: (561) 793-6170
Fax: (561) 795-3683
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (251 days ago).
Enrollment records
2
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20040721000830 | O | Clinic/Group Practice | FL | TBD |
| O20100930078804 | O | Physician - Podiatry | FL | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 34986)
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