MINIMALLY INVASIVE PODIATRY LLC
NPI 1396492104
Podiatrist - Foot Surgery in Cambridge, MA
About Minimally Invasive Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINIMALLY INVASIVE PODIATRY LLC (NPI 1396492104) is a healthcare organization registered as a foot surgery in Cambridge, Massachusetts and active in the NPI registry since March 2022. The organization maintains 2 additional practice locations and lists Quinn Taylor Charbonneau, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Minimally Invasive Podiatry 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 Minimally Invasive Podiatry 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 Minimally Invasive Podiatry LLC's NPI number?
The NPI number for Minimally Invasive Podiatry LLC is 1396492104. It was assigned to this organization in the NPPES registry on March 2, 2022.
Where is Minimally Invasive Podiatry LLC located?
Minimally Invasive Podiatry LLC is located at 322 Pearl Street Ste 1, Cambridge, MA 02139. The listed phone number is (267) 230-3629.
What is Minimally Invasive Podiatry LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Minimally Invasive Podiatry LLC enrolled in Medicare?
Yes. Minimally Invasive Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Minimally Invasive Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Minimally Invasive Podiatry 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 Minimally Invasive Podiatry LLC was last updated on April 6, 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.
# Minimally Invasive Podiatry Llc · NPI 1396492104
Foot Surgery organization in Cambridge, Massachusetts. Organization record, active in the CMS NPPES registry since March 2, 2022.
## Identity
- **NPI:** 1396492104 (Entity type: Organization)
- **Enumerated:** March 2, 2022
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Quinn Charbonneau, PHYSICIAN/OWNER
## Practice location
- **Address:** 322 PEARL STREET, STE 1, Cambridge, MA 02139-4762
- **Phone:** (267) 230-3629
## 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 6, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1396492104) · Data from the CMS NPPES public registry.