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PEARL FOOT AND ANKLE LLC
NPI 1346008711
Podiatrist in Portland, OR

Active since March 11, 2024
12672 NW BARNES RD STE 100, PORTLAND, OR 97229(503) 284-2000 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pearl Foot And Ankle Llc NPPES

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

PEARL FOOT AND ANKLE LLC (NPI 1346008711) is a healthcare organization registered as a podiatrist in Portland, Oregon and active in the NPI registry since March 2024. The organization maintains 2 additional practice locations and lists Timothy James Mineo, Owner, as its authorized official.

NPPES Registry Identity

NPI1346008711
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePEARL FOOT AND ANKLE LLC
Location Address12672 NW BARNES RD STE 100Portland, OR 97229-6191
Mailing Address3601 Nw 115th AvePortland, OR 97229-9321 · (503) 477-0409
Phone(503) 284-2000
Organization SubpartNo
Authorized OfficialTimothy James MineoOwner · (503) 477-0409
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1346008711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
12672 NW BARNES RD STE 100, Portland, OR 97229
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Secondary Practice Locations 2

Location 11827 NE 44th Ave Ste 100Portland, OR 97213-1443 · Phone (503) 284-2000
Location 22850 SE Powell Valley Rd Ste 104Gresham, OR 97080-1495 · Phone (503) 284-2000

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pearl Foot And Ankle LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Colin Mizuo, DPM
Podiatry
NPI 1427410679
5050 NE HOYT ST STE 223
Portland, OR 97213
(503) 963-2964
✔ PECOS✔ Accepts Medicare9.5 mi
Timothy Mineo, D.P.M.
Podiatry
NPI 1275730459
24076 SE STARK ST SUITE 110
Gresham, OR 97030
(503) 661-5388
✔ PECOS✔ Accepts Medicare19 mi
Sean Lee, DPM
Podiatry
NPI 1134692486
36 MALAGA COVE PLZ STE 206A
Palos Verdes Estates, CA 90274
(424) 677-2594
✔ PECOS✔ Accepts Medicare842 mi
Guang Yang, DPM
Podiatry
NPI 1417417742
550 PEACHTREE ST NE STE 1960
Atlanta, GA 30308
(404) 589-1330
✔ PECOS✔ Accepts Medicare2,179 mi
Zachary Egidi, D.P.M.
Podiatry
NPI 1821449091
1 VANDERBILT PARK DR STE 100
Asheville, NC 28803
(828) 277-8042
✔ PECOS✔ Accepts Medicare2,204 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 Pearl Foot And Ankle LLC's NPI number?

The NPI number for Pearl Foot And Ankle LLC is 1346008711. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Pearl Foot And Ankle LLC located?

Pearl Foot And Ankle LLC is located at 12672 NW Barnes Rd Ste 100, Portland, OR 97229. The listed phone number is (503) 284-2000.

What is Pearl Foot And Ankle LLC's specialty?

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

Is Pearl Foot And Ankle LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Pearl Foot And Ankle LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Pearl Foot And Ankle 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pearl Foot And Ankle LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pearl Foot And Ankle 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 Pearl Foot And Ankle LLC was last updated on March 11, 2024. 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.