SOUTH SHORE PODIATRY, PLLC
NPI 1457735094
Podiatrist - Foot Surgery in Massapequa, NY
About South Shore Podiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE PODIATRY, PLLC (NPI 1457735094) is a healthcare organization registered as a foot surgery in Massapequa, New York and active in the NPI registry since July 2015. The organization lists Mital B Patel, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Shore Podiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Shore Podiatry, PLLC, 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 South Shore Podiatry, PLLC's NPI number?
The NPI number for South Shore Podiatry, PLLC is 1457735094. It was assigned to this organization in the NPPES registry on July 14, 2015.
Where is South Shore Podiatry, PLLC located?
South Shore Podiatry, PLLC is located at 20 Hicksville Rd Suite 2, Massapequa, NY 11758. The listed phone number is (516) 744-0354.
What is South Shore Podiatry, PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is South Shore Podiatry, PLLC enrolled in Medicare?
Yes. South Shore Podiatry, PLLC is registered in the Medicare PECOS enrollment system.
When is South Shore Podiatry, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Shore Podiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to South Shore Podiatry, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Shore Podiatry, PLLC was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# South Shore Podiatry, Pllc · NPI 1457735094
Foot Surgery organization in Massapequa, New York. Organization record, active in the CMS NPPES registry since July 14, 2015.
## Identity
- **NPI:** 1457735094 (Entity type: Organization)
- **Enumerated:** July 14, 2015
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Mital Patel, PODIATRIST
## Practice location
- **Address:** 20 HICKSVILLE RD, SUITE 2, Massapequa, NY 11758-5819
- **Phone:** (516) 744-0354 · **Fax:** (855) 959-1613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, New York, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **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:** March 14, 2016
- **Other identifiers:** Other A100127791 (NY); Other PK6781 (NY); Medicaid 02669029 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1457735094) · Data from the CMS NPPES public registry.