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FOOT AND ANKLE SPECIALIST
NPI 1053616086
Podiatrist - Foot & Ankle Surgery in Irvine, CA

Active since January 23, 2011
16405 SAND CANYON AVE STE 270, IRVINE, CA 92618(949) 651-1202 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foot And Ankle Specialist NPPES

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

FOOT AND ANKLE SPECIALIST (NPI 1053616086) is a healthcare organization registered as a foot & ankle surgery in Irvine, California and active in the NPI registry since January 2011. The organization lists Gennady Kolodenker, Owner, as its authorized official.

NPPES Registry Identity

NPI1053616086
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT AND ANKLE SPECIALIST
Location Address16405 SAND CANYON AVE STE 270Irvine, CA 92618-3792
Mailing Address16405 Sand Canyon Ave Ste 270Irvine, CA 92618-3792 · (949) 651-1202
Phone(949) 651-1202
Organization SubpartNo
Authorized OfficialGennady KolodenkerOwner · (949) 651-1202
Enumeration DateJanuary 23, 2011
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1053616086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4880
16405 SAND CANYON AVE STE 270, Irvine, CA 92618
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot And Ankle Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Foot And Ankle Specialist, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Sara Solar
Podiatry
NPI 1720578107
16405 SAND CANYON AVE STE 270
Irvine, CA 92618
(949) 651-1202
✔ PECOS✔ Accepts MedicareSame address
Audris Tien, DPM
Podiatry
NPI 1134657646
16405 SAND CANYON AVE STE 270
Irvine, CA 92618
(949) 651-1202
✔ PECOS✔ Accepts MedicareSame address
Michael Coyer, DPM
Podiatry
NPI 1629413562
16405 SAND CANYON AVE STE 270
Irvine, CA 92618
(949) 651-1202
✔ PECOS✔ Accepts MedicareSame address
Gennady Kolodenker, DPM
Podiatry
NPI 1659516151
16405 SAND CANYON AVE SUITE 270
Irvine, CA 92618
(949) 651-1202
✔ PECOS✔ Accepts MedicareSame address
Eboni Vincent, DPM
Podiatry
NPI 1457738676
16405 SAND CANYON AVE STE 270
Irvine, CA 92618
(949) 651-1202
✔ PECOS✔ Accepts MedicareSame address
Andrew Yang, DPM
Podiatry
NPI 1427581222
16405 SAND CANYON AVE STE 270
Irvine, CA 92618
(303) 839-6741
✔ PECOS✔ Accepts MedicareSame address
David Graham, D.P.M.
Podiatry
NPI 1215291562
5220 CLARK AVE STE 125
Lakewood, CA 90712
(562) 602-6723
✔ PECOS✔ Accepts Medicare25 mi

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 Foot And Ankle Specialist's NPI number?

The NPI number for Foot And Ankle Specialist is 1053616086. It was assigned to this organization in the NPPES registry on January 23, 2011.

Where is Foot And Ankle Specialist located?

Foot And Ankle Specialist is located at 16405 Sand Canyon Ave Ste 270, Irvine, CA 92618. The listed phone number is (949) 651-1202.

What is Foot And Ankle Specialist's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Foot And Ankle Specialist enrolled in Medicare?

Yes. Foot And Ankle Specialist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot And Ankle Specialist?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Podiatry, reassign their Medicare billing to Foot And Ankle Specialist. 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. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Specialist was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.