DELAWARE PODIATRY CENTER LLC – Podiatrist, NPI 1588697767
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DELAWARE PODIATRY CENTER LLC
The Staebler Group, 575, Copeland Mill Road, Westerville, Sharon, Franklin, Ohio, 43081, United States
SUITE 2F
WESTERVILLE, OH 430818977
Phone: (614) 891-2828
Fax: (614) 891-5411
Type: Mailing
575 COPELAND MILL RD STE 2F
WESTERVILLE, OH 430818977
Phone: (614) 891-2828
Fax: (614) 891-5411
Type: Mailing
Delaware Podiatry Center, LLC, 357, West Central Avenue, Delaware, Delaware County, Ohio, 43015, United States
DELAWARE, OH 430151476
Phone: (740) 369-3071
Fax: (740) 369-5188
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: 2020-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (282 days ago).
Enrollment records
1
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20200422002591 | O | Clinic/Group Practice | OH | 2025-08-31 |
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 43081)
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