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AMBULATORY FOOT CENTER PC
NPI 1063630291
Podiatrist - Foot & Ankle Surgery in Grants Pass, OR

Active since April 23, 2007
1619 NW HAWTHORNE AVE STE 110, GRANTS PASS, OR 97526(541) 471-7056 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ambulatory Foot Center Pc NPPES

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

AMBULATORY FOOT CENTER PC (NPI 1063630291) is a healthcare organization registered as a foot & ankle surgery in Grants Pass, Oregon and active in the NPI registry since April 2007. The organization lists Mark L Simchuk, Excutive Officer, as its authorized official.

NPPES Registry Identity

NPI1063630291
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameAMBULATORY FOOT CENTER PC
Location Address1619 NW HAWTHORNE AVE STE 110Grants Pass, OR 97526-6008
Mailing Address1619 Nw Hawthorne Ave, Ste 110Grants Pass, OR 97526-6008 · (541) 471-7056
Phone(541) 471-7056
Organization SubpartNo
Authorized OfficialMark L SimchukExcutive Officer · (541) 471-7056
Enumeration DateApril 23, 2007
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1063630291 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 OR · DP00291
1619 NW HAWTHORNE AVE STE 110, Grants Pass, OR 97526
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

Ambulatory Foot Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ambulatory Foot Center PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Mark Simchuk, DPM
Podiatry
NPI 1518967447
1619 NW HAWTHORNE AVE SUITE 110
Grants Pass, OR 97526
(541) 471-7056
✔ PECOS✔ Accepts MedicareSame address
Kyle Villaruz, DPM
Podiatry
NPI 1770079659
1619 NW HAWTHORNE AVE STE 110
Grants Pass, OR 97526
(541) 471-7056
✔ PECOS✔ Accepts MedicareSame address
Christine Meis, DPM
Podiatry
NPI 1346240272
1619 NW HAWTHORNE AVE SUITE 110
Grants Pass, OR 97526
(541) 471-7056
✔ PECOSSame 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 Ambulatory Foot Center PC's NPI number?

The NPI number for Ambulatory Foot Center PC is 1063630291. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Ambulatory Foot Center PC located?

Ambulatory Foot Center PC is located at 1619 NW Hawthorne Ave Ste 110, Grants Pass, OR 97526. The listed phone number is (541) 471-7056.

What is Ambulatory Foot Center PC's specialty?

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

Is Ambulatory Foot Center PC enrolled in Medicare?

Yes. Ambulatory Foot Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ambulatory Foot Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Ambulatory Foot Center 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ambulatory Foot Center PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ambulatory Foot Center PC 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 Ambulatory Foot Center PC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.