FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC – Podiatrist, NPI 1710212204

FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC is a healthcare provider. based in Ottumwa, Iowa. specializing in Podiatrist. The organization holds a License No. 00582 (IA). The NPI Number for FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC is 1710212204

Main info

Organization
Name
FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC
NPI
1710212204
Phone
(641) 683-7901
Address
520 N SHERIDAN AVE
Authorized Official
DR. BRUCE FRIDINGER OWNER D.P.M.
Enumeration Date
16 October 2009
Last Update Date
24 May 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC

  • 520, North Sheridan Avenue, Ottumwa, Wapello County, Iowa, 52501, United States

    OTTUMWA, IA 525014228

    Phone: (641) 683-7901

    Fax: (641) 682-1158

    Mailing address matches the actual address.

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: 2010-12-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (197 days ago).

Enrollment records

1

Earliest due date

2025-11-30

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
O20101216000876OClinic/Group PracticeIA2025-11-30

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 52501)

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Reviews

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Frequently asked questions

How do I look up FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC by NPI?
Use NPI 1710212204 when you need to reference FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC in forms, claims, or directories.
Is FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC currently active in the NPI registry?
CMS-published data lists FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC as an active registrant.
What kind of provider is FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC?
The page reflects Podiatrist for FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC. Clinical services aligned with this taxonomy classification.
What location metadata exists for FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC?
The page summarizes Ottumwa, Iowa for FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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