ADVANCED FOOT & ANKLE CENTER, LLC
NPI 1285947705
Podiatrist in Blackfoot, ID

Active since July 26, 2010
9 AIRPORT RD, BLACKFOOT, ID 83221(208) 785-6700(208) 785-6767 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Advanced Foot & Ankle Center, Llc NPPES

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

ADVANCED FOOT & ANKLE CENTER, LLC (NPI 1285947705) is a healthcare organization registered as a podiatrist in Blackfoot, Idaho and active in the NPI registry since July 2010. The organization lists Douglas Stanley Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1285947705
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameADVANCED FOOT & ANKLE CENTER, LLC
Location Address9 AIRPORT RDBlackfoot, ID 83221-1702
Mailing Address9 Airport RdBlackfoot, ID 83221-1702 · (208) 785-6700 · Fax (208) 785-6767
Fax(208) 785-6767
Organization SubpartNo
Authorized OfficialDouglas Stanley WilliamsManaging Member · (208) 785-6700
Enumeration DateJuly 26, 2010
Last NPPES UpdateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1285947705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in ID · P156
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9 AIRPORT RD, Blackfoot, ID 83221

Other Identifiers 6

Other000010015672ID · Blue Shield
Other341488ID · Dmba
Medicaid804309300ID
Other461973001ID · Dmerc
OtherP1571ID · Blue Cross
Other480034721ID · Medicare Railroad

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Foot & Ankle Center, Llc 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 Advanced Foot & Ankle Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1932106713
9 AIRPORT RD
Blackfoot, ID 83221
(208) 785-6700
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Foot & Ankle Center, LLC's NPI number?

The NPI number for Advanced Foot & Ankle Center, LLC is 1285947705. It was assigned to this organization in the NPPES registry on July 26, 2010.

Where is Advanced Foot & Ankle Center, LLC located?

Advanced Foot & Ankle Center, LLC is located at 9 Airport Rd, Blackfoot, ID 83221. The listed phone number is (208) 785-6700.

What is Advanced Foot & Ankle Center, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Advanced Foot & Ankle Center, LLC enrolled in Medicare?

Yes. Advanced Foot & Ankle Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Foot & Ankle Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Advanced Foot & Ankle Center, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Foot & Ankle Center, LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Advanced Foot & Ankle Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Foot & Ankle Center, LLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.