JENNIFER K FONG DPM
NPI 1114256955
Podiatrist - Foot & Ankle Surgery in San Francisco, CA
About Jennifer K Fong Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER K FONG DPM (NPI 1114256955) is an individual foot & ankle surgery provider in San Francisco, California, licensed in California (E5041) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer K Fong Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 Jennifer Fong's NPI number?
The NPI number for Jennifer Fong is 1114256955. It was assigned to this individual provider in the NPPES registry on December 7, 2009.
Where is Jennifer Fong located?
Jennifer Fong practices at 1600 Owens St Fl 2, San Francisco, CA 94158. The listed phone number is (415) 833-2291.
What is Jennifer Fong's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Jennifer Fong enrolled in Medicare?
Yes. Jennifer Fong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Fong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fong reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Jennifer Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Fong was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jennifer K Fong, DPM · NPI 1114256955
Foot & Ankle Surgery provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since December 7, 2009.
## Identity
- **NPI:** 1114256955 (Entity type: Individual)
- **Enumerated:** December 7, 2009
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E5041 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 OWENS ST FL 2, San Francisco, CA 94158-2261
- **Phone:** (415) 833-2291
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114256955) · Data from the CMS NPPES public registry.