DR. ANDY ARCHULETA DPM
NPI 1407417744
Podiatrist - Foot & Ankle Surgery in Lodi, CA

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
1300 W LODI AVE STE W, LODI, CA 95242(209) 334-6664 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Jun 9, 2020 (2 updates tracked since 2020).

About Dr. Andy Archuleta Dpm NPPES

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

DR. ANDY ARCHULETA DPM (NPI 1407417744) is an individual foot & ankle surgery provider in Lodi, California, licensed in California (E5929) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2020).

NPPES Registry Identity

NPI1407417744
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ANDY ARCHULETACredential: DPM
Location Address1300 W LODI AVE STE WLodi, CA 95242-3037
Mailing Address12303 De Paul DrBridgeton, MO 63044-2512
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2020
Enumeration DateJune 26, 2019
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1407417744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5929
1300 W LODI AVE STE W, Lodi, CA 95242

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andy Archuleta Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395103683
PECOS Enrollment IDI20230619001190
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
950 services399 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
818 services335 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
520 services338 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
456 services207 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
222 services222 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
181 services56 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1300 W LODI AVE STE W
LODI, CA 95242

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 Andy Archuleta's NPI number?

The NPI number for Andy Archuleta is 1407417744. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Andy Archuleta located?

Andy Archuleta practices at 1300 W Lodi Ave Ste W, Lodi, CA 95242. The listed phone number is (209) 334-6664.

What is Andy Archuleta's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Andy Archuleta enrolled in Medicare?

Yes. Andy Archuleta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andy Archuleta was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.