LASER PODIATRY ASSOCIATES, LLC
NPI 1386943561
Podiatrist - Foot & Ankle Surgery in Frederick, MD
About Laser Podiatry Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LASER PODIATRY ASSOCIATES, LLC (NPI 1386943561) is a healthcare organization registered as a foot & ankle surgery in Frederick, Maryland and active in the NPI registry since March 2011. The organization lists Jennifer E Mullendore, Owner, 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)
Laser Podiatry Associates, 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 Laser Podiatry Associates, 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 Laser Podiatry Associates, LLC's NPI number?
The NPI number for Laser Podiatry Associates, LLC is 1386943561. It was assigned to this organization in the NPPES registry on March 27, 2011.
Where is Laser Podiatry Associates, LLC located?
Laser Podiatry Associates, LLC is located at 182 Thomas Johnson Dr Ste 204, Frederick, MD 21702. The listed phone number is (301) 695-9669.
What is Laser Podiatry Associates, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Laser Podiatry Associates, LLC enrolled in Medicare?
Yes. Laser Podiatry Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Laser Podiatry Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Laser Podiatry Associates, 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 Laser Podiatry Associates, LLC was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Laser Podiatry Associates, Llc · NPI 1386943561
Foot & Ankle Surgery organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since March 27, 2011.
## Identity
- **NPI:** 1386943561 (Entity type: Organization)
- **Enumerated:** March 27, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Jennifer Mullendore, OWNER
## Practice location
- **Address:** 182 THOMAS JOHNSON DR STE 204, Frederick, MD 21702-4557
- **Phone:** (301) 695-9669 · **Fax:** (301) 695-0346
## 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:** December 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1386943561) · Data from the CMS NPPES public registry.