COEUR D' ALENE FOOT & ANKLE CLINIC LLC
NPI 1174816144
Podiatrist - Foot & Ankle Surgery in Coeur D Alene, ID

Active since May 24, 2011
101 W IRONWOOD DR, SUITE 131, COEUR D ALENE, ID 83814(208) 666-0605(208) 666-0916 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coeur D' Alene Foot & Ankle Clinic Llc NPPES

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

COEUR D' ALENE FOOT & ANKLE CLINIC LLC (NPI 1174816144) is a healthcare organization registered as a foot & ankle surgery in Coeur D Alene, Idaho and active in the NPI registry since May 2011. The organization lists Orlando E Nunez, Owner, as its authorized official.

NPPES Registry Identity

NPI1174816144
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCOEUR D' ALENE FOOT & ANKLE CLINIC LLC
Location Address101 W IRONWOOD DR, SUITE 131Coeur D Alene, ID 83814-1409
Mailing Address101 W Ironwood Dr, Suite 131Coeur D Alene, ID 83814-1409 · (208) 666-0605 · Fax (208) 666-0916
Fax(208) 666-0916
Organization SubpartNo
Authorized OfficialOrlando E NunezOwner · (208) 666-0605
Enumeration DateMay 24, 2011
Last NPPES UpdateOctober 24, 2011
✔ NPI 1174816144 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
101 W IRONWOOD DR, Coeur D Alene, ID 83814

Other Identifiers 1

Medicare NSC6585680001ID

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coeur D' Alene Foot & Ankle Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20110614000399Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coeur D' Alene Foot & Ankle Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1821274259
101 W IRONWOOD DR SUITE 131
Coeur D Alene, ID 83814
(208) 666-0605
✔ PECOS✔ Accepts MedicareSame address

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 Coeur D' Alene Foot & Ankle Clinic LLC's NPI number?

The NPI number for Coeur D' Alene Foot & Ankle Clinic LLC is 1174816144. It was assigned to this organization in the NPPES registry on May 24, 2011.

Where is Coeur D' Alene Foot & Ankle Clinic LLC located?

Coeur D' Alene Foot & Ankle Clinic LLC is located at 101 W Ironwood Dr Suite 131, Coeur D Alene, ID 83814. The listed phone number is (208) 666-0605.

What is Coeur D' Alene Foot & Ankle Clinic LLC's specialty?

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

Is Coeur D' Alene Foot & Ankle Clinic LLC enrolled in Medicare?

Yes. Coeur D' Alene Foot & Ankle Clinic LLC is registered in the Medicare PECOS enrollment system.

When is Coeur D' Alene Foot & Ankle Clinic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coeur D' Alene Foot & Ankle Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Coeur D' Alene Foot & Ankle Clinic LLC. 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.

What insurance does Coeur D' Alene Foot & Ankle Clinic LLC accept?

Health plans from Moda Health Plan, Inc. list Coeur D' Alene Foot & Ankle Clinic LLC 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 Coeur D' Alene Foot & Ankle Clinic LLC was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.