ROY O. KROEKER, DPM, INC
NPI 1316251960
Podiatrist - Foot & Ankle Surgery in Fresno, CA

Active since August 05, 2010
7081 N MARKS AVE 104 PMB 358, PMB 358, FRESNO, CA 93711(559) 432-5565 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2019, Feb 10, 2017 (2 updates tracked since 2017).

About Roy O. Kroeker, Dpm, Inc NPPES

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

ROY O. KROEKER, DPM, INC (NPI 1316251960) is a healthcare organization registered as a foot & ankle surgery in Fresno, California and active in the NPI registry since August 2010. The organization lists Roy O Kroeker, President/doctor, as its authorized official.

NPPES Registry Identity

NPI1316251960
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameROY O. KROEKER, DPM, INC
Location Address7081 N MARKS AVE 104 PMB 358, PMB 358Fresno, CA 93711-0232
Mailing Address7081 N Marks Ave 104, Pmb 358Fresno, CA 93711-0232 · (559) 432-5565 · Fax (559) 462-5255
Organization SubpartNo
Authorized OfficialRoy O KroekerPresident/doctor · (559) 432-5565
Enumeration DateAugust 5, 2010
Last NPPES UpdateApril 29, 20202 updates tracked since enumeration
NPPES CertifiedApril 29, 2020
✔ NPI 1316251960 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
License✔ Licensed in CA · E14010
7081 N MARKS AVE 104 PMB 358, Fresno, CA 93711

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy O. Kroeker, Dpm, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120427000433Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roy O. Kroeker, DPM, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1790829992
7081 N MARKS AVE 104 PMB 358
Fresno, CA 93711
(559) 432-5565
✔ 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 Roy O. Kroeker, Dpm, Inc's NPI number?

The NPI number for Roy O. Kroeker, Dpm, Inc is 1316251960. It was assigned to this organization in the NPPES registry on August 5, 2010.

Where is Roy O. Kroeker, Dpm, Inc located?

Roy O. Kroeker, Dpm, Inc is located at 7081 N Marks Ave 104 Pmb 358 Pmb 358, Fresno, CA 93711. The listed phone number is (559) 432-5565.

What is Roy O. Kroeker, Dpm, Inc's specialty?

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

Is Roy O. Kroeker, Dpm, Inc enrolled in Medicare?

Yes. Roy O. Kroeker, Dpm, Inc is registered in the Medicare PECOS enrollment system.

When is Roy O. Kroeker, Dpm, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Roy O. Kroeker, Dpm, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Roy O. Kroeker, Dpm, Inc. 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 Roy O. Kroeker, Dpm, Inc was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.