FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC
NPI 1154010056
Podiatrist - Foot & Ankle Surgery in Clearwater, FL

Active since May 05, 2023
4625 E BAY DR STE 106, CLEARWATER, FL 33764(727) 434-4468 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2024, May 5, 2023 (2 updates tracked since 2023).

About Foot And Ankle Specialists Of Clearwater, Llc NPPES

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

FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC (NPI 1154010056) is a healthcare organization registered as a foot & ankle surgery in Clearwater, Florida and active in the NPI registry since May 2023. The organization lists Asma Khan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154010056
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC
Location Address4625 E BAY DR STE 106Clearwater, FL 33764-6866
Mailing Address4625 E Bay Dr Ste 106Clearwater, FL 33764-6866
Organization SubpartNo
Authorized OfficialAsma KhanAdministrator · (773) 550-8401
Enumeration DateMay 5, 2023
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1154010056 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
4625 E BAY DR STE 106, Clearwater, FL 33764

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot And Ankle Specialists Of Clearwater, 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 Foot And Ankle Specialists Of Clearwater, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1659518264
4625 E BAY DR STE 106
Clearwater, FL 33764
(737) 550-8401
✔ 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 Foot And Ankle Specialists Of Clearwater, LLC's NPI number?

The NPI number for Foot And Ankle Specialists Of Clearwater, LLC is 1154010056. It was assigned to this organization in the NPPES registry on May 5, 2023.

Where is Foot And Ankle Specialists Of Clearwater, LLC located?

Foot And Ankle Specialists Of Clearwater, LLC is located at 4625 E Bay Dr Ste 106, Clearwater, FL 33764. The listed phone number is (727) 434-4468.

What is Foot And Ankle Specialists Of Clearwater, LLC's specialty?

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

Is Foot And Ankle Specialists Of Clearwater, LLC enrolled in Medicare?

Yes. Foot And Ankle Specialists Of Clearwater, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot And Ankle Specialists Of Clearwater, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot And Ankle Specialists Of Clearwater, 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.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Specialists Of Clearwater, LLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.