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INNOVATIVE FOOT AND ANKLE SPECIALISTS PLLC
NPI 1457197873
Podiatrist - Foot & Ankle Surgery in Mount Dora, FL

Active since July 04, 2024
3900 LAKE CENTER DR STE A1, MOUNT DORA, FL 32757(352) 562-7590(352) 663-8530 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2025, Aug 22, 2024, Aug 7, 2024 and 1 more (4 updates tracked since 2024).

About Innovative Foot And Ankle Specialists Pllc NPPES

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

INNOVATIVE FOOT AND ANKLE SPECIALISTS PLLC (NPI 1457197873) is a healthcare organization registered as a foot & ankle surgery in Mount Dora, Florida and active in the NPI registry since July 2024. The organization lists Kevin Allen Tootle, Podiatrist, Provider, as its authorized official.

NPPES Registry Identity

NPI1457197873
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameINNOVATIVE FOOT AND ANKLE SPECIALISTS PLLC
Location Address3900 LAKE CENTER DR STE A1Mount Dora, FL 32757-2203
Mailing AddressPo Box 770754Winter Garden, FL 34777-0754 · (352) 744-6290
Phone(352) 562-7590
Fax(352) 663-8530
Organization SubpartNo
Authorized OfficialKevin Allen TootlePodiatrist, Provider · (352) 562-7590
Enumeration DateJuly 4, 2024
Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1457197873 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
3900 LAKE CENTER DR STE A1, Mount Dora, FL 32757
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Foot And Ankle Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Foot And Ankle Specialists PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kevin Tootle, D.P.M.
Podiatry
NPI 1023468295
3900 LAKE CENTER DR STE A1
Mount Dora, FL 32757
(525) 627-5903
✔ PECOS✔ Accepts MedicareSame address
Tyler Floyd, DPM
Podiatry
NPI 1770088965
2400 HOOKS ST
Clermont, FL 34711
(352) 432-5790
✔ PECOS✔ Accepts Medicare18 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 Innovative Foot And Ankle Specialists PLLC's NPI number?

The NPI number for Innovative Foot And Ankle Specialists PLLC is 1457197873. It was assigned to this organization in the NPPES registry on July 4, 2024.

Where is Innovative Foot And Ankle Specialists PLLC located?

Innovative Foot And Ankle Specialists PLLC is located at 3900 Lake Center Dr Ste A1, Mount Dora, FL 32757. The listed phone number is (352) 562-7590.

What is Innovative Foot And Ankle Specialists PLLC's specialty?

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

Is Innovative Foot And Ankle Specialists PLLC enrolled in Medicare?

Yes. Innovative Foot And Ankle Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Foot And Ankle Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Innovative Foot And Ankle Specialists PLLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Foot And Ankle Specialists PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Innovative Foot And Ankle Specialists PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Foot And Ankle Specialists PLLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.