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CORNERSTONE PODIATRY LLC
NPI 1356823173
Podiatrist - Foot & Ankle Surgery in Wickliffe, OH

Active since August 29, 2018
29127 EUCLID AVE, WICKLIFFE, OH 44092(216) 731-3370 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cornerstone Podiatry Llc NPPES

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

CORNERSTONE PODIATRY LLC (NPI 1356823173) is a healthcare organization registered as a foot & ankle surgery in Wickliffe, Ohio and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Fairview Park and lists Kimberly Ciccero, Owner, as its authorized official.

NPPES Registry Identity

NPI1356823173
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCORNERSTONE PODIATRY LLC
Location Address29127 EUCLID AVEWickliffe, OH 44092-2467
Mailing Address29127 Euclid AveWickliffe, OH 44092-2467
Phone(216) 731-3370
Organization SubpartNo
Authorized OfficialKimberly CicceroOwner · (216) 731-3370
Enumeration DateAugust 29, 2018
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1356823173 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
29127 EUCLID AVE, Wickliffe, OH 44092
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Secondary Practice Location 1

Location 120455 Lorain RdFairview Park, OH 44126-3494 · Phone (440) 941-3338

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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)

Cornerstone Podiatry Llc 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
StateOhioEnrollment IDO20190422002032DME · Physician - PodiatryDue dateJanuary 31, 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 Cornerstone Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Ciccero, DPM
Podiatry
NPI 1083666036
396 PORTLAND WAY NORTH
Galion, OH 44833
(419) 468-3668
✔ PECOS✔ Accepts Medicare91 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 Cornerstone Podiatry LLC's NPI number?

The NPI number for Cornerstone Podiatry LLC is 1356823173. It was assigned to this organization in the NPPES registry on August 29, 2018.

Where is Cornerstone Podiatry LLC located?

Cornerstone Podiatry LLC is located at 29127 Euclid Ave, Wickliffe, OH 44092. The listed phone number is (216) 731-3370.

What is Cornerstone Podiatry LLC's specialty?

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

Is Cornerstone Podiatry LLC enrolled in Medicare?

Yes. Cornerstone Podiatry LLC is registered in the Medicare PECOS enrollment system.

When is Cornerstone Podiatry LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Ohio, Physician - Podiatry) 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 Cornerstone Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Cornerstone Podiatry 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 Cornerstone Podiatry LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Cornerstone Podiatry 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 Cornerstone Podiatry LLC was last updated on February 13, 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.