ADVANCED FOOT CLINIC, PC
NPI 1063518132
Podiatrist in Tualatin, OR
About Advanced Foot Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED FOOT CLINIC, PC (NPI 1063518132) is a healthcare organization registered as a podiatrist in Tualatin, Oregon and active in the NPI registry since September 2006. The organization lists Azadeh Arabshahi, Administrator/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Foot Clinic, Pc 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 Advanced Foot Clinic, PC, 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 Advanced Foot Clinic, PC's NPI number?
The NPI number for Advanced Foot Clinic, PC is 1063518132. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is Advanced Foot Clinic, PC located?
Advanced Foot Clinic, PC is located at 6464 SW Borland Rd Ste B3, Tualatin, OR 97062. The listed phone number is (503) 612-4040.
What is Advanced Foot Clinic, PC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Advanced Foot Clinic, PC enrolled in Medicare?
Yes. Advanced Foot Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Foot Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Advanced Foot Clinic, PC. 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.
When was this NPI record last updated?
The NPPES record for Advanced Foot Clinic, PC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Advanced Foot Clinic, Pc · NPI 1063518132
Podiatrist organization in Tualatin, Oregon. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1063518132 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Azadeh Arabshahi, ADMINISTRATOR/MANAGER
## Practice location
- **Address:** 6464 SW BORLAND RD STE B3, Tualatin, OR 97062-8855
- **Phone:** (503) 612-4040 · **Fax:** (503) 625-8638
## 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:** March 9, 2023
- **Other identifiers:** Other R116947 (OR); Other 5738490002 (OR); Other 480034478 (OR); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063518132) · Data from the CMS NPPES public registry.