INDIAN RIVER PODIATRY, PA
NPI 1164443859
Podiatrist - Foot & Ankle Surgery in Vero Beach, FL
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
Specialties & Licenses
Group Practice 1
Accepted 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)
Indian River Podiatry, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Indian River Podiatry, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLFrequently 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.
Is Indian River Podiatry, PA enrolled in Medicare?
Yes. Indian River Podiatry, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Indian River Podiatry, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Indian River Podiatry, PA. 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. The largest specialties are Podiatry (4) and Pathology (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Indian River Podiatry, Pa · NPI 1164443859
Foot & Ankle Surgery organization in Vero Beach, Florida. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1164443859 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Nicholas Rutledge, OWNER
## Practice location
- **Address:** 1880 37TH STREET, SUITE 4, Vero Beach, FL 32960-4502
- **Phone:** (772) 569-0081 · **Fax:** (772) 569-0819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (4), Pathology (2); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164443859) · Data from the CMS NPPES public registry.