ROSE FOOT CLINIC PC
NPI 1407014632
Podiatrist in Fairfield, IA

Active since May 23, 2008
202 E BRIGGS AVE, FAIRFIELD, IA 52556(647) 472-9371(641) 472-9589 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rose Foot Clinic Pc NPPES

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

ROSE FOOT CLINIC PC (NPI 1407014632) is a healthcare organization registered as a podiatrist in Fairfield, Iowa and active in the NPI registry since May 2008. The organization lists Richard Rose, President, as its authorized official.

NPPES Registry Identity

NPI1407014632
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameROSE FOOT CLINIC PC
Location Address202 E BRIGGS AVEFairfield, IA 52556-2925
Mailing AddressPo Box 1687Fairfield, IA 52556-0029
Fax(641) 472-9589
Organization SubpartNo
Authorized OfficialRichard RosePresident · (641) 472-9371
Enumeration DateMay 23, 2008
Last NPPES UpdateOctober 2, 2008
✔ NPI 1407014632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IA · 00688
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.
202 E BRIGGS AVE, Fairfield, IA 52556

Other Identifiers 1

Medicare PIN58773IA

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)

Rose Foot Clinic Pc 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 Rose Foot Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1790775922
202 E BRIGGS AVE
Fairfield, IA 52556
(641) 472-9731
✔ PECOS✔ Accepts Medicare0.2 mi

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 Rose Foot Clinic PC's NPI number?

The NPI number for Rose Foot Clinic PC is 1407014632. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Rose Foot Clinic PC located?

Rose Foot Clinic PC is located at 202 E Briggs Ave, Fairfield, IA 52556. The listed phone number is (647) 472-9371.

What is Rose Foot Clinic PC's specialty?

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

Is Rose Foot Clinic PC enrolled in Medicare?

Yes. Rose Foot Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Foot Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Rose Foot Clinic PC. 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 Rose Foot Clinic PC was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.