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WESTSIDE PODIATRY GROUP LLC
NPI 1427108992
Podiatrist - Foot Surgery in Rochester, NY

Active since January 10, 2007
103 CANAL LANDING BLVD STE 12, ROCHESTER, NY 14626(585) 225-2290(585) 225-1367 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2026, Mar 10, 2026, Jun 13, 2017 (3 updates tracked since 2017).

About Westside Podiatry Group Llc NPPES

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

WESTSIDE PODIATRY GROUP LLC (NPI 1427108992) is a healthcare organization registered as a foot surgery in Rochester, New York and active in the NPI registry since January 2007. The organization lists Brenda Mangione, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427108992
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameWESTSIDE PODIATRY GROUP LLC
Location Address103 CANAL LANDING BLVD STE 12Rochester, NY 14626-5108
Mailing Address2236 W Ridge RdRochester, NY 14626-2804 · (585) 225-2290 · Fax (585) 225-1367
Phone(585) 225-2290
Fax(585) 225-1367
Organization SubpartNo
Authorized OfficialBrenda MangioneOffice Manager · (585) 225-9452
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1427108992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
103 CANAL LANDING BLVD STE 12, Rochester, NY 14626
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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)

Westside Podiatry Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Westside Podiatry Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Katrina Manos, DPM
Podiatry
NPI 1770710683
2236 RIDGE RD W.
Rochester, NY 14626
(585) 225-2290
✔ PECOS✔ Accepts Medicare2.0 mi
Daniel Tellem, DPM
Podiatry
NPI 1588714042
2236 RIDGE RD W
Rochester, NY 14626
(585) 225-2290
✔ PECOS✔ Accepts Medicare2.0 mi
Evan Verbofsky, DPM
Podiatry
NPI 1053791558
2236 RIDGE RD W
Rochester, NY 14624
(585) 225-9452
✔ PECOS✔ Accepts Medicare2.0 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 Westside Podiatry Group LLC's NPI number?

The NPI number for Westside Podiatry Group LLC is 1427108992. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Westside Podiatry Group LLC located?

Westside Podiatry Group LLC is located at 103 Canal Landing Blvd Ste 12, Rochester, NY 14626. The listed phone number is (585) 225-2290.

What is Westside Podiatry Group LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Westside Podiatry Group LLC enrolled in Medicare?

Yes. Westside Podiatry Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Westside Podiatry Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Westside Podiatry Group 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Westside Podiatry Group LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.