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WOODLAKE PODIATRY, LLC
NPI 1093260176
Podiatrist - Foot & Ankle Surgery in Chesterfield, MO

Active since August 18, 2016
222 S WOODS MILL RD STE 440N, CHESTERFIELD, MO 63017(314) 434-7430(314) 434-8768 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2023, Mar 2, 2021, Aug 18, 2016 (3 updates tracked since 2016).

About Woodlake Podiatry, Llc NPPES

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

WOODLAKE PODIATRY, LLC (NPI 1093260176) is a healthcare organization registered as a foot & ankle surgery in Chesterfield, Missouri and active in the NPI registry since August 2016. The organization lists Sheryl Hanawalt, Podiatrist/owner, as its authorized official.

NPPES Registry Identity

NPI1093260176
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWOODLAKE PODIATRY, LLC
Location Address222 S WOODS MILL RD STE 440NChesterfield, MO 63017-3625
Mailing Address222 S Woods Mill Rd # 440nChesterfield, MO 63017-3625 · (314) 434-7430 · Fax (314) 434-8768
Phone(314) 434-7430
Fax(314) 434-8768
Organization SubpartNo
Authorized OfficialSheryl HanawaltPodiatrist/owner · (314) 434-7430
Enumeration DateAugust 18, 2016
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1093260176 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 MO · 2015014632
222 S WOODS MILL RD STE 440N, Chesterfield, MO 63017
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Woodlake Podiatry, Llc 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 Woodlake Podiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sheryl Hanawalt, DPM
Podiatry
NPI 1780971846
222 S WOODS MILL RD STE 440N
Chesterfield, MO 63017
(314) 434-7430
✔ PECOS✔ Accepts Medicare0.6 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 Woodlake Podiatry, LLC's NPI number?

The NPI number for Woodlake Podiatry, LLC is 1093260176. It was assigned to this organization in the NPPES registry on August 18, 2016.

Where is Woodlake Podiatry, LLC located?

Woodlake Podiatry, LLC is located at 222 S Woods Mill Rd Ste 440N, Chesterfield, MO 63017. The listed phone number is (314) 434-7430.

What is Woodlake Podiatry, LLC's specialty?

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

Is Woodlake Podiatry, LLC enrolled in Medicare?

Yes. Woodlake Podiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Woodlake Podiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Woodlake Podiatry, LLC. 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 Woodlake Podiatry, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Woodlake Podiatry, LLC 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 Woodlake Podiatry, LLC was last updated on February 1, 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.