ELITE FOOT & ANKLE ASSOCIATES LLC – Foot & Ankle Surgery Podiatrist, NPI 1700386992
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELITE FOOT & ANKLE ASSOCIATES LLC
332 NW 1st Ave
Canby, OR 970133533
Phone: (503) 668-5210
Fax: (877) 480-9759
Type: Location
11815 SW King James Pl Ste 60
King City, OR 972242479
Phone: (503) 639-8107
Fax: (877) 480-9759
Type: Location
37569 HIGHWAY 26
SANDY, OR 970559301
Phone: (503) 668-5210
Type: Mailing
17200 NW Corridor Ct Ste 108
Beaverton, OR 970063295
Phone: (503) 292-9252
Fax: (877) 480-9759
Type: Location
10373 NE Hancock St Ste 118
Portland, OR 972203873
Phone: (971) 254-8944
Fax: (877) 480-9759
Type: Location
Pioneer Boulevard, Sandy, Clackamas County, Oregon, 97055, United States
SANDY, OR 970558000
Phone: (503) 668-5210
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (647 days ago).
Enrollment records
3
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20180403002376 | O | Clinic/Group Practice | OR | 2024-08-31 |
| O20180712001660 | O | Physician - Podiatry | OR | 2025-10-31 |
| O20231010001498 | O | Clinic/Group Practice | WA | TBD |
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 97013)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.