LAKEVILLE FOOT AND ANKLE PRACTICE PLLC
NPI 1174213839
Podiatrist - Foot & Ankle Surgery in Lakeville, MN
About Lakeville Foot And Ankle Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEVILLE FOOT AND ANKLE PRACTICE PLLC (NPI 1174213839) is a healthcare organization registered as a foot & ankle surgery in Lakeville, Minnesota and active in the NPI registry since May 2023. The organization lists Marcus James Duval, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lakeville Foot And Ankle Practice Pllc 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 Lakeville Foot And Ankle Practice PLLC, 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 Lakeville Foot And Ankle Practice PLLC's NPI number?
The NPI number for Lakeville Foot And Ankle Practice PLLC is 1174213839. It was assigned to this organization in the NPPES registry on May 8, 2023.
Where is Lakeville Foot And Ankle Practice PLLC located?
Lakeville Foot And Ankle Practice PLLC is located at 10651 165th St W, Lakeville, MN 55044. The listed phone number is (612) 670-0920.
What is Lakeville Foot And Ankle Practice PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Lakeville Foot And Ankle Practice PLLC enrolled in Medicare?
Yes. Lakeville Foot And Ankle Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeville Foot And Ankle Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lakeville Foot And Ankle Practice PLLC. 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 Lakeville Foot And Ankle Practice PLLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lakeville Foot And Ankle Practice Pllc · NPI 1174213839
Foot & Ankle Surgery organization in Lakeville, Minnesota. Organization record, active in the CMS NPPES registry since May 8, 2023.
## Identity
- **NPI:** 1174213839 (Entity type: Organization)
- **Enumerated:** May 8, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Marcus Duval, OWNER
## Practice location
- **Address:** 10651 165TH ST W, Lakeville, MN 55044-5670
- **Phone:** (612) 670-0920
## 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:** December 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174213839) · Data from the CMS NPPES public registry.