BAYAMON PODIATRIC CLINIC PSC
NPI 1306421714
Podiatrist - Foot & Ankle Surgery in Bayamon, PR
About Bayamon Podiatric Clinic Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYAMON PODIATRIC CLINIC PSC (NPI 1306421714) is a healthcare organization registered as a foot & ankle surgery in Bayamon, Puerto Rico and active in the NPI registry since March 2021. The organization lists Edmond Medina, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Bayamon Podiatric Clinic Psc 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 Bayamon Podiatric Clinic Psc, 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 Bayamon Podiatric Clinic Psc's NPI number?
The NPI number for Bayamon Podiatric Clinic Psc is 1306421714. It was assigned to this organization in the NPPES registry on March 17, 2021.
Where is Bayamon Podiatric Clinic Psc located?
Bayamon Podiatric Clinic Psc is located at P12 Calle Magnolia, Bayamon, PR 00956. The listed phone number is (787) 785-9282.
What is Bayamon Podiatric Clinic Psc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Bayamon Podiatric Clinic Psc enrolled in Medicare?
Yes. Bayamon Podiatric Clinic Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bayamon Podiatric Clinic Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Bayamon Podiatric Clinic Psc. 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 Bayamon Podiatric Clinic Psc was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bayamon Podiatric Clinic Psc · NPI 1306421714
Foot & Ankle Surgery organization in Bayamon, Puerto Rico. Organization record, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1306421714 (Entity type: Organization)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Edmond Medina, PRESIDENT
## Practice location
- **Address:** P12 CALLE MAGNOLIA, Bayamon, PR 00956-2608
- **Phone:** (787) 785-9282
## 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:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306421714) · Data from the CMS NPPES public registry.