1. Home
  2. Directory
  3. Connecticut
  4. Fairfield
  5. Podiatrist
  6. NPI Profile

ADVANCED MEDICAL FOOTCARE, LLC
NPI 1376619924
Podiatrist in Fairfield, CT

Active since November 27, 2006
1817 BLACK ROCK TURNPIKE, FAIRFIELD, CT 06825(203) 330-8080(203) 334-6924 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Medical Footcare, Llc NPPES

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

ADVANCED MEDICAL FOOTCARE, LLC (NPI 1376619924) is a healthcare organization registered as a podiatrist in Fairfield, Connecticut and active in the NPI registry since November 2006. The organization lists Carol A Callahan, Partner, as its authorized official.

NPPES Registry Identity

NPI1376619924
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameADVANCED MEDICAL FOOTCARE, LLC
Location Address1817 BLACK ROCK TURNPIKEFairfield, CT 06825-3546
Mailing Address1817 Black Rock TurnpikeFairfield, CT 06825-3546 · (203) 330-8080 · Fax (203) 334-6924
Phone(203) 330-8080
Fax(203) 334-6924
Organization SubpartNo
Authorized OfficialCarol A CallahanPartner · (203) 330-8080
Enumeration DateNovember 27, 2006
Last NPPES UpdateSeptember 10, 2018
✔ NPI 1376619924 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.
1817 BLACK ROCK TURNPIKE, Fairfield, CT 06825
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Medical Footcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Medical Footcare, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Song Yu, DPM
Podiatry
NPI 1790770352
1817 BLACK ROCK TPKE STE 8 ADVANCED MEDICAL FOOTCARE
Fairfield, CT 06825
(203) 330-8080
✔ 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 Advanced Medical Footcare, LLC's NPI number?

The NPI number for Advanced Medical Footcare, LLC is 1376619924. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Advanced Medical Footcare, LLC located?

Advanced Medical Footcare, LLC is located at 1817 Black Rock Turnpike, Fairfield, CT 06825. The listed phone number is (203) 330-8080.

What is Advanced Medical Footcare, LLC's specialty?

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

Is Advanced Medical Footcare, LLC enrolled in Medicare?

Yes. Advanced Medical Footcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Medical Footcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Advanced Medical Footcare, 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.

When was this NPI record last updated?

The NPPES record for Advanced Medical Footcare, LLC was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.