SI PODIATRY
NPI 1205876018
Podiatrist - Foot Surgery in Staten Island, NY

Active since June 08, 2006
1855 RICHMOND AVE, STATEN ISLAND, NY 10314(718) 556-5550(718) 556-7868 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Si Podiatry NPPES

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

SI PODIATRY (NPI 1205876018) is a healthcare organization registered as a foot surgery in Staten Island, New York and active in the NPI registry since June 2006. The organization lists Richard Rouder, President, as its authorized official.

NPPES Registry Identity

NPI1205876018
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameRICHARD ROUDER, DPM, PC
Location Address1855 RICHMOND AVEStaten Island, NY 10314-3912
Mailing Address1855 Richmond AveStaten Island, NY 10314-3912 · (718) 556-5550 · Fax (718) 556-7868
Fax(718) 556-7868
Organization SubpartNo
Authorized OfficialRichard RouderPresident · (718) 556-5550
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 28, 2008
✔ NPI 1205876018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N005371
1855 RICHMOND AVE, Staten Island, NY 10314

Other Names 1

Doing Business AsSi Podiatry

Other Identifiers 5

Other05402NY · Ghi Medicare
Medicare NSC5548720001NY
Medicare UPINU66241NY
Medicare PINP0067XRRY1NY
Medicare PIN002402NJ

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)

Si Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Si Podiatry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1104350776
1855 RICHMOND AVE
Staten Island, NY 10314
(718) 556-5550
✔ PECOSSame address
Podiatry
NPI 1598704488
1500 VICTORY BLVD
Staten Island, NY 10301
(178) 556-5550
✔ PECOS✔ Accepts Medicare2.7 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 Richard Rouder, Dpm, PC's NPI number?

The NPI number for Richard Rouder, Dpm, PC is 1205876018. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Si Podiatry.

Where is Richard Rouder, Dpm, PC located?

Richard Rouder, Dpm, PC is located at 1855 Richmond Ave, Staten Island, NY 10314. The listed phone number is (718) 556-5550.

What is Richard Rouder, Dpm, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Richard Rouder, Dpm, PC enrolled in Medicare?

Yes. Richard Rouder, Dpm, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richard Rouder, Dpm, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Richard Rouder, Dpm, PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Richard Rouder, Dpm, PC was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.