1. Home
  2. Directory
  3. Iowa
  4. Bettendorf
  5. Podiatrist
  6. NPI Profile

PODIATRY AT HOME, LLC
NPI 1174192801
Podiatrist - Foot & Ankle Surgery in Bettendorf, IA

Active since June 17, 2021
5656 JUDGE RD, BETTENDORF, IA 52722(563) 362-8170(872) 333-9156 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Podiatry At Home, Llc NPPES

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

PODIATRY AT HOME, LLC (NPI 1174192801) is a healthcare organization registered as a foot & ankle surgery in Bettendorf, Iowa and active in the NPI registry since June 2021. The organization lists Andrea Eve Gillio, Doctor, Owner, as its authorized official.

NPPES Registry Identity

NPI1174192801
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY AT HOME, LLC
Location Address5656 JUDGE RDBettendorf, IA 52722-1211
Mailing Address5656 Judge RdBettendorf, IA 52722-1211 · (563) 362-8170 · Fax (872) 333-9156
Phone(563) 362-8170
Fax(872) 333-9156
Organization SubpartYes
Authorized OfficialAndrea Eve GillioDoctor, Owner · (563) 362-8170
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1174192801 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
5656 JUDGE RD, Bettendorf, IA 52722
Open in Google Maps ↗

Other Identifiers 2

Medicaid1134338809IA
Medicaid016005330IL

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

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 Podiatry At Home, LLC's NPI number?

The NPI number for Podiatry At Home, LLC is 1174192801. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Podiatry At Home, LLC located?

Podiatry At Home, LLC is located at 5656 Judge Rd, Bettendorf, IA 52722. The listed phone number is (563) 362-8170.

What is Podiatry At Home, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Podiatry At Home, LLC was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.