MAIN FOOT AND ANKLE CLINIC LLC
NPI 1386087997
Podiatrist - Foot & Ankle Surgery in Paterson, NJ
About Main Foot And Ankle Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN FOOT AND ANKLE CLINIC LLC (NPI 1386087997) is a healthcare organization registered as a foot & ankle surgery in Paterson, New Jersey and active in the NPI registry since April 2013. The organization lists Almutasemb Shehada, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Foot And Ankle Clinic 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 Main Foot And Ankle Clinic LLC, 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 Main Foot And Ankle Clinic LLC's NPI number?
The NPI number for Main Foot And Ankle Clinic LLC is 1386087997. It was assigned to this organization in the NPPES registry on April 12, 2013.
Where is Main Foot And Ankle Clinic LLC located?
Main Foot And Ankle Clinic LLC is located at 1040 Main St Floor 2, Paterson, NJ 07503. The listed phone number is (171) 898-6078.
What is Main Foot And Ankle Clinic LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Main Foot And Ankle Clinic LLC enrolled in Medicare?
Yes. Main Foot And Ankle Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Foot And Ankle Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Main Foot And Ankle Clinic 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 Main Foot And Ankle Clinic LLC was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Main Foot And Ankle Clinic Llc · NPI 1386087997
Foot & Ankle Surgery organization in Paterson, New Jersey. Organization record, active in the CMS NPPES registry since April 12, 2013.
## Identity
- **NPI:** 1386087997 (Entity type: Organization)
- **Enumerated:** April 12, 2013
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Almutasemb Shehada, PARTNER
## Practice location
- **Address:** 1040 MAIN ST, FLOOR 2, Paterson, NJ 07503-2212
- **Phone:** (171) 898-6078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** April 12, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1386087997) · Data from the CMS NPPES public registry.