TREASURE VALLEY FOOT AND ANKLE
NPI 1083261697
Podiatrist - Foot & Ankle Surgery in Meridian, ID

Active since August 20, 2019
3120 W BELLTOWER DR STE 100, MERIDIAN, ID 83646(208) 516-3617(208) 314-2029 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2019, Aug 20, 2019 (2 updates tracked since 2019).

About Treasure Valley Foot And Ankle NPPES

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

TREASURE VALLEY FOOT AND ANKLE (NPI 1083261697) is a healthcare organization registered as a foot & ankle surgery in Meridian, Idaho and active in the NPI registry since August 2019. The organization lists Clark A Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1083261697
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTREASURE VALLEY FOOT AND ANKLE
Location Address3120 W BELLTOWER DR STE 100Meridian, ID 83646-7744
Mailing AddressPo Box 268Bountiful, UT 84011-0268 · (208) 516-3617 · Fax (208) 314-2029
Fax(208) 314-2029
Organization SubpartNo
Authorized OfficialClark A JohnsonPresident · (208) 546-9548
Enumeration DateAugust 20, 2019
Last NPPES UpdateDecember 16, 20192 updates tracked since enumeration
✔ NPI 1083261697 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
3120 W BELLTOWER DR STE 100, Meridian, ID 83646

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)

Treasure Valley Foot And Ankle 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 Treasure Valley Foot And Ankle, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1518225929
3120 W BELLTOWER DR STE 100
Meridian, ID 83646
(208) 516-3617
✔ 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 Treasure Valley Foot And Ankle's NPI number?

The NPI number for Treasure Valley Foot And Ankle is 1083261697. It was assigned to this organization in the NPPES registry on August 20, 2019.

Where is Treasure Valley Foot And Ankle located?

Treasure Valley Foot And Ankle is located at 3120 W Belltower Dr Ste 100, Meridian, ID 83646. The listed phone number is (208) 516-3617.

What is Treasure Valley Foot And Ankle's specialty?

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

Is Treasure Valley Foot And Ankle enrolled in Medicare?

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

How many clinicians bill Medicare through Treasure Valley Foot And Ankle?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Treasure Valley Foot And Ankle. 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 Treasure Valley Foot And Ankle accept?

Health plans from Molina Healthcare list Treasure Valley Foot And Ankle 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 Treasure Valley Foot And Ankle was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.