UPSTATE PODIATRY GROUP, PA
NPI 1396487336
Podiatrist - Foot & Ankle Surgery in Spartanburg, SC
About Upstate Podiatry Group, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE PODIATRY GROUP, PA (NPI 1396487336) is a healthcare organization registered as a foot & ankle surgery in Spartanburg, South Carolina and active in the NPI registry since April 2022. The organization lists Stephanie Riddle, Cfo, 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)
Upstate Podiatry Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Upstate Podiatry Group, PA, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (11)
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 Upstate Podiatry Group, PA's NPI number?
The NPI number for Upstate Podiatry Group, PA is 1396487336. It was assigned to this organization in the NPPES registry on April 11, 2022.
Where is Upstate Podiatry Group, PA located?
Upstate Podiatry Group, PA is located at 1420 John B White Sr Blvd, Spartanburg, SC 29306. The listed phone number is (864) 399-9070.
What is Upstate Podiatry Group, PA's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Upstate Podiatry Group, PA enrolled in Medicare?
Yes. Upstate Podiatry Group, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Podiatry Group, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Podiatry, reassign their Medicare billing to Upstate Podiatry Group, PA. 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 Upstate Podiatry Group, PA was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Upstate Podiatry Group, Pa · NPI 1396487336
Foot & Ankle Surgery organization in Spartanburg, South Carolina. Organization record, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1396487336 (Entity type: Organization)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** Yes (part of Upstate Podiatry Group, Pa)
- **Authorized official:** Stephanie Riddle, CFO
## Practice location
- **Address:** 1420 JOHN B WHITE SR BLVD, Spartanburg, SC 29306-3927
- **Phone:** (864) 399-9070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396487336) · Data from the CMS NPPES public registry.