ACTIVE PODIATRY PLLC
NPI 1184135568
Podiatrist - Foot Surgery in Brooklyn, NY
About Active Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE PODIATRY PLLC (NPI 1184135568) is a healthcare organization registered as a foot surgery in Brooklyn, New York and active in the NPI registry since October 2017. The organization lists Wiqar Farooqi, Dpm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Active Podiatry Pllc 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Podiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Brooklyn, NY 11206
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 Active Podiatry PLLC's NPI number?
The NPI number for Active Podiatry PLLC is 1184135568. It was assigned to this organization in the NPPES registry on October 12, 2017.
Where is Active Podiatry PLLC located?
Active Podiatry PLLC is located at 149 Marine Ave Apt La, Brooklyn, NY 11209. The listed phone number is (718) 883-8844.
What is Active Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Active Podiatry PLLC enrolled in Medicare?
Yes. Active Podiatry PLLC is registered in the Medicare PECOS enrollment system.
When is Active Podiatry PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - Podiatry) 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 Active Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Active Podiatry 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 Active Podiatry PLLC was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Active Podiatry Pllc · NPI 1184135568
Foot Surgery organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since October 12, 2017.
## Identity
- **NPI:** 1184135568 (Entity type: Organization)
- **Enumerated:** October 12, 2017
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Wiqar Farooqi, DPM
## Practice location
- **Address:** 149 MARINE AVE APT LA, Brooklyn, NY 11209-7712
- **Phone:** (718) 883-8844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, New York, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **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:** February 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1184135568) · Data from the CMS NPPES public registry.