KINGS HIGHWAY PODIATRY PC
NPI 1154691632
Podiatrist - Primary Podiatric Medicine in Brooklyn, NY
About Kings Highway Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGS HIGHWAY PODIATRY PC (NPI 1154691632) is a healthcare organization registered as a primary podiatric medicine in Brooklyn, New York and active in the NPI registry since December 2011. The organization lists Warren Goodman, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kings Highway Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kings Highway Podiatry PC, 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 Kings Highway Podiatry PC's NPI number?
The NPI number for Kings Highway Podiatry PC is 1154691632. It was assigned to this organization in the NPPES registry on December 30, 2011.
Where is Kings Highway Podiatry PC located?
Kings Highway Podiatry PC is located at 380 Avenue U, Brooklyn, NY 11223. The listed phone number is (718) 376-3077.
What is Kings Highway Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Kings Highway Podiatry PC enrolled in Medicare?
Yes. Kings Highway Podiatry PC is registered in the Medicare PECOS enrollment system.
When is Kings Highway Podiatry PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kings Highway Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kings Highway Podiatry PC. 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 Kings Highway Podiatry PC was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kings Highway Podiatry Pc · NPI 1154691632
Primary Podiatric Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since December 30, 2011.
## Identity
- **NPI:** 1154691632 (Entity type: Organization)
- **Enumerated:** December 30, 2011
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Warren Goodman, PODIATRIST
## Practice location
- **Address:** 380 AVENUE U, Brooklyn, NY 11223-4046
- **Phone:** (718) 376-3077 · **Fax:** (718) 339-4470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** February 2, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1154691632) · Data from the CMS NPPES public registry.