MIDWEST PODIATRY CENTER ST. ANTHONY
NPI 1164716387
Podiatrist - Foot & Ankle Surgery in Minneapolis, MN
About Midwest Podiatry Center St. Anthony NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST PODIATRY CENTER ST. ANTHONY (NPI 1164716387) is a healthcare organization registered as a foot & ankle surgery in Minneapolis, Minnesota and active in the NPI registry since June 2011. The organization lists Bryan Mohr, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Midwest Podiatry Center St. Anthony is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Midwest Podiatry Center St. Anthony, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 25Source: 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 Active Feet, Foot & Ankle Health Center's NPI number?
The NPI number for Active Feet, Foot & Ankle Health Center is 1164716387. It was assigned to this organization in the NPPES registry on June 6, 2011. The provider is doing business as Midwest Podiatry Center St. Anthony.
Where is Active Feet, Foot & Ankle Health Center located?
Active Feet, Foot & Ankle Health Center is located at 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421. The listed phone number is (612) 788-8778.
What is Active Feet, Foot & Ankle Health Center's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Active Feet, Foot & Ankle Health Center enrolled in Medicare?
Yes. Active Feet, Foot & Ankle Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Feet, Foot & Ankle Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 2 Medicare specialties reassign their Medicare billing to Active Feet, Foot & Ankle Health Center. 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 (24) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Active Feet, Foot & Ankle Health Center was last updated on November 1, 2018. 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.
# Midwest Podiatry Center St. Anthony · NPI 1164716387
Foot & Ankle Surgery organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since June 6, 2011.
## Identity
- **NPI:** 1164716387 (Entity type: Organization)
- **Enumerated:** June 6, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Legal business name:** Active Feet, Foot & Ankle Health Center
- **Organization subpart:** No
- **Authorized official:** Bryan Mohr, OWNER
## Practice location
- **Address:** 4001 STINSON BLVD STE 120, Minneapolis, MN 55421-3424
- **Phone:** (612) 788-8778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (24), Certified Clinical Nurse Specialist (CNS) (1); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1164716387/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1164716387) · Data from the CMS NPPES public registry.