FOOTSTAR PLLC – Podiatric Clinic/Center, NPI 1801697347

FOOTSTAR PLLC is a healthcare provider. based in Houston, Texas. specializing in Podiatric Clinic/Center. The NPI Number for FOOTSTAR PLLC is 1801697347

Main info

Organization
Name
FOOTSTAR PLLC
NPI
1801697347
Phone
(630) 656-0680
Address
16211 CLAY RD STE 110
Authorized Official
NIDA NISAR PODIATRIST DPM
Enumeration Date
21 March 2025
Last Update Date
21 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for FOOTSTAR PLLC

  • 16211 CLAY RD STE 110

    HOUSTON, TX 770845420

    Phone: (630) 656-0680

    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: 2025-03-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20250327000296OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 77084)

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Reviews

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Frequently asked questions

Does FOOTSTAR PLLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FOOTSTAR PLLC uses 1801697347.
Is FOOTSTAR PLLC still practicing?
FOOTSTAR PLLC is currently listed as active in the public NPI registry.
What is FOOTSTAR PLLC's primary classification?
Podiatric Clinic/Center is the headline specialty for FOOTSTAR PLLC here. Clinical services aligned with this taxonomy classification.
What address line appears for FOOTSTAR PLLC?
FOOTSTAR PLLC's geographic hint is Houston, Texas in our summary view.
Is the information about FOOTSTAR PLLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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