HealthDrive Podiatry Group – Podiatrist, NPI 1689613598
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HealthDrive Podiatry Group
201 North Illinois St
16th Floor South Tower
Indianapolis, IN 462041904
Phone: (888) 964-6681
Fax: (888) 662-0859
Type: Location
100 Crossing Blvd
Suite 300
Framingham, MA 017025555
Phone: (617) 964-6681
Fax: (339) 686-2561
Type: Location
655 METRO PL S STE 600
DUBLIN, OH 430173394
Phone: (888) 964-6681
Fax: (888) 662-0859
Type: Location
100, Crossing Boulevard, Framingham, Middlesex County, Massachusetts, 01702, United States
SUITE 300
FRAMINGHAM, MA 017025555
Phone: (617) 964-6681
Fax: (339) 686-2561
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: 2021-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (708 days ago).
Enrollment records
7
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20040309000828 | O | Clinic/Group Practice | MA | 2025-11-30 |
| O20040823000403 | O | Clinic/Group Practice | NH | TBD |
| O20190618000925 | O | Clinic/Group Practice | MN | 2024-06-30 |
| O20200121000570 | O | Clinic/Group Practice | IN | 2025-10-31 |
| O20210302002396 | O | Clinic/Group Practice | IA | 2026-03-31 |
| O20210609001025 | O | Clinic/Group Practice | MI | 2026-06-30 |
| O20210610000847 | O | Clinic/Group Practice | OH | 2026-07-31 |
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.
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 46204)
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