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KINETIC FOOT AND ANKLE CLINIC LLC
NPI 1245123389
Podiatrist - Foot & Ankle Surgery in Denver, CO

Active since May 29, 2025
2373 CENTRAL PARK BLVD UNIT 202, DENVER, CO 80238(720) 295-4864(855) 805-9391 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kinetic Foot And Ankle Clinic Llc NPPES

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

KINETIC FOOT AND ANKLE CLINIC LLC (NPI 1245123389) is a healthcare organization registered as a foot & ankle surgery in Denver, Colorado and active in the NPI registry since May 2025. The organization lists Marc R House, Owner, as its authorized official.

NPPES Registry Identity

NPI1245123389
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameKINETIC FOOT AND ANKLE CLINIC LLC
Location Address2373 CENTRAL PARK BLVD UNIT 202Denver, CO 80238-2300
Mailing Address5420 S Quebec St Ste 106Greenwood Village, CO 80111-1902 · (720) 295-4864 · Fax (855) 805-9391
Phone(720) 295-4864
Fax(855) 805-9391
Organization SubpartYes
Authorized OfficialMarc R HouseOwner · (720) 295-4864
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1245123389 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
2373 CENTRAL PARK BLVD UNIT 202, Denver, CO 80238
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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)

Kinetic Foot And Ankle Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kinetic Foot And Ankle Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Marc House, DPM
Podiatry
NPI 1629038849
5420 S QUEBEC ST STE 106
Greenwood Village, CO 80111
(720) 295-4864
✔ PECOS✔ Accepts Medicare9.2 mi
Mary Lanoue
Podiatry
NPI 1174272827
5420 S QUEBEC ST STE 106
Greenwood Village, CO 80111
(720) 295-4864
✔ PECOS✔ Accepts Medicare9.2 mi
Josephine Lyons, DPM
Podiatry
NPI 1205356235
5420 S QUEBEC ST STE 106
Greenwood Village, CO 80111
(720) 295-4864
✔ PECOS✔ Accepts Medicare9.2 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 Kinetic Foot And Ankle Clinic LLC's NPI number?

The NPI number for Kinetic Foot And Ankle Clinic LLC is 1245123389. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Kinetic Foot And Ankle Clinic LLC located?

Kinetic Foot And Ankle Clinic LLC is located at 2373 Central Park Blvd Unit 202, Denver, CO 80238. The listed phone number is (720) 295-4864.

What is Kinetic Foot And Ankle Clinic LLC's specialty?

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

Is Kinetic Foot And Ankle Clinic LLC enrolled in Medicare?

Yes. Kinetic Foot And Ankle Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kinetic Foot And Ankle Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Kinetic Foot And 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. Of these, 3 practice 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 Kinetic Foot And Ankle Clinic LLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.