Las Vegas Foot and Ankle Center – Podiatric Clinic/Center, NPI 1497378517
Podiatric Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Las Vegas Foot and Ankle Center
2649 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 890524801
Phone: (702) 565-6641
Fax: (702) 565-9249
Type: Mailing
PO BOX 845038
LOS ANGELES, CA 900845038
Phone: (847) 627-4920
Fax: (628) 345-0812
Type: Mailing
9940 W Flamingo Rd Ste 101
Las Vegas, NV 891478553
Phone: (702) 948-0613
Fax: (702) 605-5880
Type: Location
825 N Gibson Rd Ste 430
Henderson, NV 890111708
Phone: (702) 565-6641
Fax: (702) 565-9249
Type: Location
10561 Jeffreys St Ste 110
Henderson, NV 890524267
Phone: (704) 456-3668
Fax: (702) 456-6688
Type: Location
5435 Reno Corporate Dr Ste 200
Reno, NV 895112624
Phone: (775) 324-1122
Fax: (775) 324-1166
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: 2020-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (801 days ago).
Enrollment records
2
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20200720001185 | O | Clinic/Group Practice | NV | 2026-03-31 |
| O20201014000489 | O | Physician - Podiatry | NV | 2024-03-31 |
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 89052)
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