COLLIER PODIATRY, P.A.
NPI 1164634556
Podiatrist - Foot Surgery in Naples, FL
About Collier Podiatry, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLIER PODIATRY, P.A. (NPI 1164634556) is a healthcare organization registered as a foot surgery in Naples, Florida and active in the NPI registry since May 2007. The organization lists Michael John Petrocelli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collier Podiatry, P.a. 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 Collier Podiatry, P.A., 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 Collier Podiatry, P.A.'s NPI number?
The NPI number for Collier Podiatry, P.A. is 1164634556. It was assigned to this organization in the NPPES registry on May 6, 2007.
Where is Collier Podiatry, P.A. located?
Collier Podiatry, P.A. is located at 1715 Heritage Trl Suite 204, Naples, FL 34112. The listed phone number is (239) 775-0019.
What is Collier Podiatry, P.A.'s specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Collier Podiatry, P.A. enrolled in Medicare?
Yes. Collier Podiatry, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Collier Podiatry, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Collier Podiatry, P.A.. 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 Collier Podiatry, P.A. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Collier Podiatry, P.a. · NPI 1164634556
Foot Surgery organization in Naples, Florida. Organization record, active in the CMS NPPES registry since May 6, 2007.
## Identity
- **NPI:** 1164634556 (Entity type: Organization)
- **Enumerated:** May 6, 2007
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Michael Petrocelli, PRESIDENT
## Practice location
- **Address:** 1715 HERITAGE TRL, SUITE 204, Naples, FL 34112-8715
- **Phone:** (239) 775-0019 · **Fax:** (239) 775-0219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** March 7, 2023
- **Other identifiers:** Other 1811988165; Other 4574474 (FL); Other PO-2399 (FL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164634556) · Data from the CMS NPPES public registry.