FARAGALLA FOOT CARE LLC – Foot Surgery Podiatrist, NPI 1750822565

FARAGALLA FOOT CARE LLC is a healthcare provider. based in Bradenton, Florida. specializing in Foot Surgery Podiatrist. The organization holds a License No. PO3803 (FL). The NPI Number for FARAGALLA FOOT CARE LLC is 1750822565

Main info

Organization
Name
FARAGALLA FOOT CARE LLC
NPI
1750822565
Phone
(551) 655-4146
Address
11416 GRAMERCY PARK AVE
Authorized Official
DR. WASSEM FARAGALLA DPM
Enumeration Date
13 March 2017
Last Update Date
20 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for FARAGALLA FOOT CARE LLC

  • 11416 GRAMERCY PARK AVE

    BRADENTON, FL 342118459

    Phone: (551) 655-4146

    Type: Mailing

  • 2105, Manatee Avenue East, Manatee, Bradenton, Manatee County, Florida, 34208, United States

    BRADENTON, FL 342081640

    Phone: (551) 655-4146

    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: 2017-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-05-31 (737 days ago).

Enrollment records

1

Earliest due date

2024-05-31

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
O20170814001193OClinic/Group PracticeFL2024-05-31

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 34211)

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Reviews

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Frequently asked questions

What NPI should I save for FARAGALLA FOOT CARE LLC?
Save NPI 1750822565 if you need a stable reference for FARAGALLA FOOT CARE LLC.
Is FARAGALLA FOOT CARE LLC's NPI currently valid?
The extract we use shows FARAGALLA FOOT CARE LLC as active.
What kind of provider is FARAGALLA FOOT CARE LLC?
The page reflects Foot Surgery Podiatrist for FARAGALLA FOOT CARE LLC. Clinical services aligned with this taxonomy classification.
What location shows for FARAGALLA FOOT CARE LLC?
We surface Bradenton, Florida for FARAGALLA FOOT CARE LLC based on available NPPES addresses.
How can I contact FARAGALLA FOOT CARE LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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