FIRST STATE PODIATRY, L.L.C.
NPI 1376600932
Podiatrist in Dover, DE

Active since January 02, 2007
1177 S GOVERNORS AVE STE B, DOVER, DE 19904(302) 678-4612(302) 678-4614 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About First State Podiatry, L.l.c. NPPES

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

FIRST STATE PODIATRY, L.L.C. (NPI 1376600932) is a healthcare organization registered as a podiatrist in Dover, Delaware and active in the NPI registry since January 2007. The organization lists Marco Paul Holgado, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1376600932
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFIRST STATE PODIATRY, L.L.C.
Location Address1177 S GOVERNORS AVE STE BDover, DE 19904-6903
Mailing Address1177 S Governors Ave Ste BDover, DE 19904-6903 · (302) 678-4612 · Fax (302) 678-4614
Fax(302) 678-4614
Organization SubpartNo
Authorized OfficialMarco Paul HolgadoPodiatrist · (302) 678-4612
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1376600932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in DE · E1-0000139
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.
1177 S GOVERNORS AVE STE B, Dover, DE 19904

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

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)

First State Podiatry, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateDelawareEnrollment IDO20070706000118Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 First State Podiatry, L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1760541528
1177 S GOVERNORS AVE STE B
Dover, DE 19904
(302) 678-4612
✔ 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 First State Podiatry, L.L.C.'s NPI number?

The NPI number for First State Podiatry, L.L.C. is 1376600932. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is First State Podiatry, L.L.C. located?

First State Podiatry, L.L.C. is located at 1177 S Governors Ave Ste B, Dover, DE 19904. The listed phone number is (302) 678-4612.

What is First State Podiatry, L.L.C.'s specialty?

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

Is First State Podiatry, L.L.C. enrolled in Medicare?

Yes. First State Podiatry, L.L.C. is registered in the Medicare PECOS enrollment system.

When is First State Podiatry, L.L.C.'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 (Delaware, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 First State Podiatry, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to First State Podiatry, L.L.C.. 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 First State Podiatry, L.L.C. accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list First State Podiatry, L.L.C. 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 First State Podiatry, L.L.C. was last updated on April 10, 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.