SOUTHSIDE PODIATRY PC
NPI 1205968799
Podiatrist in Brooklyn, NY
About Southside Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE PODIATRY PC (NPI 1205968799) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since March 2007. The organization lists Mark Elliott Hupart, Dpm/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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)
Southside Podiatry Pc 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 Southside Podiatry PC, 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 Southside Podiatry PC's NPI number?
The NPI number for Southside Podiatry PC is 1205968799. It was assigned to this organization in the NPPES registry on March 10, 2007.
Where is Southside Podiatry PC located?
Southside Podiatry PC is located at 903 E 82nd St, Brooklyn, NY 11236. The listed phone number is (718) 241-2000.
What is Southside Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Southside Podiatry PC enrolled in Medicare?
Yes. Southside Podiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southside Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southside Podiatry PC was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Southside Podiatry Pc · NPI 1205968799
Podiatrist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since March 10, 2007.
## Identity
- **NPI:** 1205968799 (Entity type: Organization)
- **Enumerated:** March 10, 2007
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Mark Hupart, DPM/PRESIDENT
## Practice location
- **Address:** 903 E 82ND ST, Brooklyn, NY 11236
- **Phone:** (718) 241-2000 · **Fax:** (718) 241-5281
## 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:** July 19, 2010
- **Other identifiers:** Medicaid 01180363 (NY); Medicare PIN P5W621 (NY); Medicare ID-Type Unspecified P5W62 (NY); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205968799) · Data from the CMS NPPES public registry.