KHUMALO FOOT AND ANKLE CLINIC, INC
NPI 1366099269
Podiatrist - Foot & Ankle Surgery in Union City, TN
About Khumalo Foot And Ankle Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHUMALO FOOT AND ANKLE CLINIC, INC (NPI 1366099269) is a healthcare organization registered as a foot & ankle surgery in Union City, Tennessee and active in the NPI registry since August 2019. The organization lists Lisa Kay Page, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Khumalo Foot And Ankle Clinic, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Khumalo Foot And Ankle Clinic, Inc, 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 Khumalo Foot And Ankle Clinic, Inc's NPI number?
The NPI number for Khumalo Foot And Ankle Clinic, Inc is 1366099269. It was assigned to this organization in the NPPES registry on August 25, 2019.
Where is Khumalo Foot And Ankle Clinic, Inc located?
Khumalo Foot And Ankle Clinic, Inc is located at 1109 E Reelfoot Ave Ste K, Union City, TN 38261. The listed phone number is (731) 599-9909.
What is Khumalo Foot And Ankle Clinic, Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Khumalo Foot And Ankle Clinic, Inc enrolled in Medicare?
Yes. Khumalo Foot And Ankle Clinic, Inc is registered in the Medicare PECOS enrollment system.
When is Khumalo Foot And Ankle Clinic, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Physician - Podiatry) 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 Khumalo Foot And Ankle Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Khumalo Foot And Ankle Clinic, 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 Khumalo Foot And Ankle Clinic, Inc was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Khumalo Foot And Ankle Clinic, Inc · NPI 1366099269
Foot & Ankle Surgery organization in Union City, Tennessee. Organization record, active in the CMS NPPES registry since August 25, 2019.
## Identity
- **NPI:** 1366099269 (Entity type: Organization)
- **Enumerated:** August 25, 2019
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Lisa Page, CREDENTIALING MANAGER
## Practice location
- **Address:** 1109 E REELFOOT AVE STE K, Union City, TN 38261-5867
- **Phone:** (731) 599-9909 · **Fax:** (731) 599-9970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Tennessee, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **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:** March 30, 2026
- **Other identifiers:** Medicaid 7100815670 (KY); Medicaid 3352636 (TN); Medicaid 7100242870 (KY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366099269) · Data from the CMS NPPES public registry.