INDIAN RIVER PODIATRY, PA
NPI 1164443859
Podiatrist - Foot & Ankle Surgery in Vero Beach, FL

Active since July 21, 2006CLIA 10D2162255 · Certificate of Compliance
1880 37TH STREET, SUITE 4, VERO BEACH, FL 32960(772) 569-0081(772) 569-0819 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Indian River Podiatry, Pa NPPES

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

INDIAN RIVER PODIATRY, PA (NPI 1164443859) is a healthcare organization registered as a foot & ankle surgery in Vero Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 10, 2027 and lists Nicholas Ward Rutledge, Owner, as its authorized official.

NPPES Registry Identity

NPI1164443859
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameINDIAN RIVER PODIATRY, PA
Location Address1880 37TH STREET, SUITE 4Vero Beach, FL 32960-4502
Mailing AddressPo Box 99Vero Beach, FL 32961-0099 · (772) 569-0081 · Fax (772) 569-0819
Fax(772) 569-0819
Organization SubpartNo
Authorized OfficialNicholas Ward RutledgeOwner · (772) 569-0081
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 25, 2019
✔ NPI 1164443859 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 FL · P02624
1880 37TH STREET, SUITE 4, Vero Beach, FL 32960

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2162255

Indian River Podiatry, PA · Vero Beach, FL
Active · expires Sep 10, 2027
CLIA Number10D2162255
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorStephen L. Robinson
Laboratory Phone(772) 569-0081
Laboratory LocationIndian River Podiatry, PA1880 37th St Suite 4, Vero Beach, FL 32960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1880 37TH STREET, SUITE 4
VERO BEACH, FL 32960

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 Indian River Podiatry, PA's NPI number?

The NPI number for Indian River Podiatry, PA is 1164443859. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Indian River Podiatry, PA located?

Indian River Podiatry, PA is located at 1880 37th Street, Suite 4, Vero Beach, FL 32960. The listed phone number is (772) 569-0081.

What is Indian River Podiatry, PA's specialty?

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

Does Indian River Podiatry, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2162255) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indian River Podiatry, PA accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Florida Blue (BlueCross BlueShield FL), Medica and Sanford Health Plan list Indian River Podiatry, PA 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 Indian River Podiatry, PA was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.