DR ROBERT WOODRUFF DPM PA
NPI 1083882385
Podiatrist - Foot Surgery in Bolton, MS
About Dr Robert Woodruff Dpm Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR ROBERT WOODRUFF DPM PA (NPI 1083882385) is a healthcare organization registered as a foot surgery in Bolton, Mississippi and active in the NPI registry since February 2008. The organization lists Robert Woodruff, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Dr Robert Woodruff Dpm Pa 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 Dr Robert Woodruff DPM PA, 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 Dr Robert Woodruff Dpm PA's NPI number?
The NPI number for Dr Robert Woodruff Dpm PA is 1083882385. It was assigned to this organization in the NPPES registry on February 20, 2008.
Where is Dr Robert Woodruff Dpm PA located?
Dr Robert Woodruff Dpm PA is located at 1055 Hubb Rd, Bolton, MS 39041. The listed phone number is (601) 506-7400.
What is Dr Robert Woodruff Dpm PA's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Dr Robert Woodruff Dpm PA enrolled in Medicare?
Yes. Dr Robert Woodruff Dpm PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Robert Woodruff Dpm PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr Robert Woodruff Dpm PA. 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 Dr Robert Woodruff Dpm PA was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr Robert Woodruff Dpm Pa · NPI 1083882385
Foot Surgery organization in Bolton, Mississippi. Organization record, active in the CMS NPPES registry since February 20, 2008.
## Identity
- **NPI:** 1083882385 (Entity type: Organization)
- **Enumerated:** February 20, 2008
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Robert Woodruff, CEO
## Practice location
- **Address:** 1055 HUBB RD, Bolton, MS 39041-8500
- **Phone:** (601) 506-7400
## 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:** September 14, 2021
- **Other identifiers:** Medicaid 0110072 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1083882385) · Data from the CMS NPPES public registry.