SUPERIOR PODIATRY, LLC
NPI 1457839839
Podiatrist - Foot & Ankle Surgery in Saint Augustine, FL
About Superior Podiatry, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPERIOR PODIATRY, LLC (NPI 1457839839), doing business as St Johns Foot And Ankle Specialists, Llc, is a healthcare organization registered as a foot & ankle surgery in Saint Augustine, Florida and active in the NPI registry since July 2018. The organization maintains 2 additional practice locations and lists John Randall Northrup, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Superior Podiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Superior Podiatry, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Superior Podiatry, LLC's NPI number?
The NPI number for Superior Podiatry, LLC is 1457839839. It was assigned to this organization in the NPPES registry on July 30, 2018. The provider was formerly known as St Johns Foot And Ankle Specialists, LLC.
Where is Superior Podiatry, LLC located?
Superior Podiatry, LLC is located at 1690 Us Highway 1 S Ste C, Saint Augustine, FL 32084. The listed phone number is (904) 436-8001.
What is Superior Podiatry, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Superior Podiatry, LLC enrolled in Medicare?
Yes. Superior Podiatry, LLC is registered in the Medicare PECOS enrollment system.
When is Superior Podiatry, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by January 31, 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 Superior Podiatry, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Superior Podiatry, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Superior Podiatry, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Superior Podiatry, LLC 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 Superior Podiatry, LLC was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Superior Podiatry, Llc · NPI 1457839839
Foot & Ankle Surgery organization in Saint Augustine, Florida. Organization record, active in the CMS NPPES registry since July 30, 2018.
## Identity
- **NPI:** 1457839839 (Entity type: Organization)
- **Enumerated:** July 30, 2018
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** John Northrup, PRESIDENT/OWNER
## Practice location
- **Address:** 1690 US HIGHWAY 1 S STE C, Saint Augustine, FL 32084-6024
- **Phone:** (904) 436-8001 · **Fax:** (904) 377-6776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Florida, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2020
- **Other identifiers:** Medicaid 101522100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1457839839) · Data from the CMS NPPES public registry.