Premier Podiatry Associates – Foot & Ankle Surgery Podiatrist, NPI 1700691672

Premier Podiatry Associates is a healthcare provider. based in Altamonte springs, Florida. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Premier Podiatry Associates is 1700691672

Main info

Organization
Name
Premier Podiatry Associates
NPI
1700691672
Phone
(407) 813-2413
Address
616 E ALTAMONTE DR STE 205
Authorized Official
MRS. CRISTINA MARIA CORRALES-AGUILAR OFFICE MANAGER
Enumeration Date
10 February 2025
Last Update Date
15 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness90
Years active:1State licenses:0Digital endpoints

Provider Addresses for Premier Podiatry Associates

  • 616 E ALTAMONTE DR STE 205

    ALTAMONTE SPRINGS, FL 327014810

    Phone: (407) 813-2413

    Fax: (407) 378-6017

    Type: Mailing

  • 616 E ALTAMONTE DR.

    STE #205

    ALTAMONTE SPRINGS, FL 327014810

    Phone: (407) 813-2413

    Fax: (407) 792-1019

    Type: Location

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: 2025-02-12

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
O20250212001218OClinic/Group PracticeFLTBD

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 32701)

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Reviews

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Frequently asked questions

What number should I use to identify Premier Podiatry Associates for billing?
Administrative and clinical systems typically use NPI 1700691672 for Premier Podiatry Associates.
Is Premier Podiatry Associates's NPI status active today?
Active status means Premier Podiatry Associates's NPI record is not deactivated in the public file.
Which specialty label fits Premier Podiatry Associates?
NPPES ties Premier Podiatry Associates to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Premier Podiatry Associates in Altamonte Springs, Florida?
For routing, start with Altamonte Springs, Florida for Premier Podiatry Associates, then verify phone and hours locally.
Can I export Premier Podiatry Associates's record?
You can download the official NPPES record; we summarize key fields for readability.

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