PODIATRY HEALTH SERVICES LLC – Foot & Ankle Surgery Podiatrist, NPI 1700441342

PODIATRY HEALTH SERVICES LLC is a healthcare provider. based in Stuart, Florida. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for PODIATRY HEALTH SERVICES LLC is 1700441342

Main info

Organization
Name
PODIATRY HEALTH SERVICES LLC
NPI
1700441342
Phone
(772) 301-1951
Address
721 Colorado Ave
Authorized Official
KRISTOPHER P JERRY PODIATRIC SURGEON DPM
Enumeration Date
9 May 2019
Last Update Date
19 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:7State licenses:0Digital endpointsOther names

Provider Addresses for PODIATRY HEALTH SERVICES LLC

  • 721 Colorado Ave

    Stuart, FL 349943017

    Phone: (772) 301-1951

    Type: Location

  • 5700 Stirling Rd Ste 100

    Hollywood, FL 330211522

    Phone: (772) 301-1951

    Type: Location

  • 9950 Stirling Rd Ste 108

    Hollywood, FL 330248001

    Phone: (954) 869-4848

    Fax: (772) 934-7297

    Type: Location

  • 1846, Southeast Port St Lucie Boulevard, Port St. Lucie, St. Lucie County, Florida, 34952, United States

    PORT ST LUCIE, FL 349525545

    Phone: (772) 301-1951

    Fax: (772) 934-7297

    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: 2019-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
O20190618001800OClinic/Group PracticeFL2026-02-28
O20191025000611OPhysician - PodiatryFL2023-11-30

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.

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 34994)

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Reviews

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Frequently asked questions

Is PODIATRY HEALTH SERVICES LLC listed with a National Provider Identifier?
Yes — PODIATRY HEALTH SERVICES LLC has NPI 1700441342 on file in the registry.
Is PODIATRY HEALTH SERVICES LLC still an active registrant?
PODIATRY HEALTH SERVICES LLC carries an active NPI according to the public dataset.
What kind of doctor is PODIATRY HEALTH SERVICES LLC?
PODIATRY HEALTH SERVICES LLC is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is PODIATRY HEALTH SERVICES LLC located near Stuart?
PODIATRY HEALTH SERVICES LLC currently maps to Stuart, Florida in this extract.
Does PODIATRY HEALTH SERVICES LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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