CC FOOT CLINIC PC
NPI 1336029198
Clinic/Center - Podiatric in Englewood, CO

Active since September 03, 2025
3601 S CLARKSON ST STE 330, ENGLEWOOD, CO 80113(720) 531-4080(720) 310-2162 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Apr 17, 2026, Sep 3, 2025 (3 updates tracked since 2025).

About Cc Foot Clinic Pc NPPES

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

CC FOOT CLINIC PC (NPI 1336029198), doing business as Cherry Creek Foot & Ankle Clinic, is a healthcare organization registered as a podiatric in Englewood, Colorado and active in the NPI registry since September 2025. The organization maintains a secondary practice location in Denver and lists Florin Costache, Owner, as its authorized official.

NPPES Registry Identity

NPI1336029198
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameCC FOOT CLINIC PC
Location Address3601 S CLARKSON ST STE 330Englewood, CO 80113-3945
Mailing AddressPo Box 21150Boulder, CO 80308-4150 · (303) 355-1695 · Fax (303) 355-1834
Fax(720) 310-2162
Organization SubpartYes
Authorized OfficialFlorin CostacheOwner · (303) 355-1695
Enumeration DateSeptember 3, 2025
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1336029198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
3601 S CLARKSON ST STE 330, Englewood, CO 80113

Other Names 2

Doing Business AsCherry Creek Foot & Ankle Clinic
Doing Business AsPro Active Podiatry

Secondary Practice Location 1

Location 12121 S Oneida St Ste 270Denver, CO 80224-2551 · Phone (303) 355-1695 · Fax (303) 355-1834

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)

Cc Foot Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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
StateColoradoEnrollment IDO20131031000151Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

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

Clinicians, nearest first (3)

Podiatry
NPI 1881180719
2121 S ONEIDA ST STE 270
Denver, CO 80224
(303) 355-1695
✔ PECOS✔ Accepts Medicare4.2 mi
Podiatry
NPI 1396748497
2121 S ONEIDA ST STE 270
Denver, CO 80224
(303) 355-1695
✔ PECOS✔ Accepts Medicare4.2 mi
Podiatry
NPI 1376621631
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare9.7 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 Cc Foot Clinic PC's NPI number?

The NPI number for Cc Foot Clinic PC is 1336029198. It was assigned to this organization in the NPPES registry on September 3, 2025. The provider is doing business as Cherry Creek Foot & Ankle Clinic and Pro Active Podiatry.

Where is Cc Foot Clinic PC located?

Cc Foot Clinic PC is located at 3601 S Clarkson St Ste 330, Englewood, CO 80113. The listed phone number is (720) 531-4080.

What is Cc Foot Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Cc Foot Clinic PC enrolled in Medicare?

Yes. Cc Foot Clinic PC is registered in the Medicare PECOS enrollment system.

When is Cc Foot Clinic PC'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 (Colorado, Clinic/Group Practice) is due for revalidation by January 31, 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 Cc Foot Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Cc Foot Clinic 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. 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 Cc Foot Clinic PC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.