INNOVATIVE FOOT AND ANKLE CARE
NPI 1205380482
Podiatrist - Foot & Ankle Surgery in Plano, TX

Active since August 05, 2016
4701 OLD SHEPARD PL STE 260, PLANO, TX 75093(817) 596-5077(214) 299-6317 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2023, Mar 7, 2022, Jun 19, 2020 (3 updates tracked since 2020).

About Innovative Foot And Ankle Care NPPES

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

INNOVATIVE FOOT AND ANKLE CARE (NPI 1205380482) is a healthcare organization registered as a foot & ankle surgery in Plano, Texas and active in the NPI registry since August 2016. The organization maintains a secondary practice location in Richland Hills and lists Frederick Matthews, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1205380482
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameINNOVATIVE FOOT AND ANKLE CARE
Location Address4701 OLD SHEPARD PL STE 260Plano, TX 75093-5250
Mailing Address4701 Old Shepard Pl Ste 260Plano, TX 75093-5250 · (817) 596-5077 · Fax (214) 299-6317
Fax(214) 299-6317
Organization SubpartNo
Authorized OfficialFrederick MatthewsPodiatrist · (917) 923-8394
Enumeration DateAugust 5, 2016
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1205380482 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
License✔ Licensed in TX · 2186
4701 OLD SHEPARD PL STE 260, Plano, TX 75093

Secondary Practice Location 1

Location 17208 Glenview DrRichland Hills, TX 76180-8693 · Phone (817) 284-8271 · Fax (817) 284-2940

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Foot And Ankle Care 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 Innovative Foot And Ankle Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1144226036
5072 W PLANO PKWY STE 220
Plano, TX 75093
(469) 671-0900
✔ PECOS✔ Accepts Medicare0.7 mi

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 Innovative Foot And Ankle Care's NPI number?

The NPI number for Innovative Foot And Ankle Care is 1205380482. It was assigned to this organization in the NPPES registry on August 5, 2016.

Where is Innovative Foot And Ankle Care located?

Innovative Foot And Ankle Care is located at 4701 Old Shepard Pl Ste 260, Plano, TX 75093. The listed phone number is (817) 596-5077.

What is Innovative Foot And Ankle Care's specialty?

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

Is Innovative Foot And Ankle Care enrolled in Medicare?

Yes. Innovative Foot And Ankle Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Foot And Ankle Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Innovative Foot And Ankle Care. 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 Innovative Foot And Ankle Care was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.