EXCELSIOR PODIATRY CLINIC PLLC
NPI 1003085515
Podiatrist - Foot & Ankle Surgery in Somerville, TN
About Excelsior Podiatry Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXCELSIOR PODIATRY CLINIC PLLC (NPI 1003085515) is a healthcare organization registered as a foot & ankle surgery in Somerville, Tennessee and active in the NPI registry since February 2008. The organization lists John Bell, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Excelsior Podiatry Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Excelsior Podiatry Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Excelsior Podiatry Clinic PLLC's NPI number?
The NPI number for Excelsior Podiatry Clinic PLLC is 1003085515. It was assigned to this organization in the NPPES registry on February 28, 2008.
Where is Excelsior Podiatry Clinic PLLC located?
Excelsior Podiatry Clinic PLLC is located at 214 Lakeview Rd, Somerville, TN 38068. The listed phone number is (901) 516-4005.
What is Excelsior Podiatry Clinic PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Excelsior Podiatry Clinic PLLC enrolled in Medicare?
Yes. Excelsior Podiatry Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Excelsior Podiatry Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Excelsior Podiatry Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Excelsior Podiatry Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Excelsior Podiatry Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Excelsior Podiatry Clinic PLLC was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Excelsior Podiatry Clinic Pllc · NPI 1003085515
Foot & Ankle Surgery organization in Somerville, Tennessee. Organization record, active in the CMS NPPES registry since February 28, 2008.
## Identity
- **NPI:** 1003085515 (Entity type: Organization)
- **Enumerated:** February 28, 2008
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** John Bell, DOCTOR
## Practice location
- **Address:** 214 LAKEVIEW RD, Somerville, TN 38068-9737
- **Phone:** (901) 516-4005 · **Fax:** (901) 516-4023
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2010
- **Other identifiers:** Medicare PIN 33542122 (TN); Medicaid 33542121 (TN); Medicare NSC 6337480001 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1003085515) · Data from the CMS NPPES public registry.