FIRST COAST FOOT & ANKLE CLINIC INC
NPI 1013120963
Podiatrist - Foot Surgery in Jacksonville, FL

Active since May 08, 2007
8075 GATE PKWY W, SUITE 301, JACKSONVILLE, FL 32216(904) 739-9129(904) 739-9127 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About First Coast Foot & Ankle Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST FOOT & ANKLE CLINIC INC (NPI 1013120963) is a healthcare organization registered as a foot surgery in Jacksonville, Florida and active in the NPI registry since May 2007. The organization lists Vimal Reddy, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1013120963
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameFIRST COAST FOOT & ANKLE CLINIC INC
Location Address8075 GATE PKWY W, SUITE 301Jacksonville, FL 32216-3684
Mailing Address8075 Gate Pkwy W, Suite 301Jacksonville, FL 32216-3684 · (904) 739-9129 · Fax (904) 739-9127
Fax(904) 739-9127
Organization SubpartNo
Authorized OfficialVimal ReddyOwner Physician · (904) 739-9129
Enumeration DateMay 8, 2007
Last NPPES UpdateApril 10, 2015
✔ NPI 1013120963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in FL · PO3091
8075 GATE PKWY W, Jacksonville, FL 32216

Other Identifiers 1

Other6330940002FL · Dme Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

First Coast Foot & Ankle Clinic Inc 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 First Coast Foot & Ankle Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1962470617
8075 GATE PKWY W SUITE 301
Jacksonville, FL 32216
(904) 739-9129
✔ PECOS✔ Accepts MedicareSame address

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 First Coast Foot & Ankle Clinic Inc's NPI number?

The NPI number for First Coast Foot & Ankle Clinic Inc is 1013120963. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is First Coast Foot & Ankle Clinic Inc located?

First Coast Foot & Ankle Clinic Inc is located at 8075 Gate Pkwy W Suite 301, Jacksonville, FL 32216. The listed phone number is (904) 739-9129.

What is First Coast Foot & Ankle Clinic Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is First Coast Foot & Ankle Clinic Inc enrolled in Medicare?

Yes. First Coast Foot & Ankle Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Foot & Ankle Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to First Coast Foot & Ankle Clinic Inc. 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 First Coast Foot & Ankle Clinic Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list First Coast Foot & Ankle Clinic Inc 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 First Coast Foot & Ankle Clinic Inc was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.