1. Home
  2. Directory
  3. California
  4. Fresno
  5. Podiatrist
  6. NPI Profile

ELIZABETH PANKOW DPM
NPI 1467031088
Podiatrist - Foot & Ankle Surgery in Fresno, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
6145 N THESTA ST, FRESNO, CA 93710(559) 436-4820 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Feb 28, 2025, Aug 21, 2024 and 1 more (4 updates tracked since 2021).

About Elizabeth Pankow Dpm NPPES

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

ELIZABETH PANKOW DPM (NPI 1467031088) is an individual foot & ankle surgery provider in Fresno, California, licensed in California (E6104) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Staten Island, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2021).

NPPES Registry Identity

NPI1467031088
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameELIZABETH PANKOWCredential: DPM
Location Address6145 N THESTA STFresno, CA 93710-5266
Mailing Address90 Saint Marks Pl Apt 4cStaten Island, NY 10301-1662 · (503) 936-1988
Phone(559) 436-4820
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1467031088 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
Licenses✔ Licensed in CA · E6104✔ Licensed in NY · 007419
6145 N THESTA ST, Fresno, CA 93710
Open in Google Maps ↗

Secondary Practice Location 1

Location 14243 Richmond AveStaten Island, NY 10312-6221 · Phone (718) 554-4098

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Pankow 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 ID4082155403
PECOS Enrollment IDI20251211002020
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Pankow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Foundation Medical Group
1.8 mi
Internal Medicine
7370 N PALM AVE STE 101
Fresno, CA 93711
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
NPI 1003329491 (559) 228-5400
Back Office Management Services LLC
2,153 mi
Podiatrist
2025 WIGHTMAN ST
Pittsburgh, PA 15217
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
NPI 1649506684 (718) 972-5000
Eastern Podiatry PLLC
2,462 mi
Podiatrist
1468 E 10TH ST
Brooklyn, NY 11230
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1821227299 (718) 972-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
542 services519 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
389 services381 patients
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.
171 services169 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
157 services157 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
123 services123 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
25 services22 patients

Other Providers at the Same Location NPPES 14

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

LAURA POINDEXTER ROWE DPM
Podiatrist (Foot & Ankle Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-4820
DAVID VANBUREN M.D.
Surgery (Vascular Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 446-1065
ERIC LADENHEIM MD INC
Surgery
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-8173
GAN GOLSHTEYN
Podiatrist (Foot & Ankle Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-4820
MARK G HOFFMAN, M.D., INC.
Plastic Surgery
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-0871
DR. ERIC LADENHEIM M.D.
Surgery (Vascular Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 446-1065
DR. CHALEN YANG DPM
Podiatrist (Foot & Ankle Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-4820
ASHA BLADES DPM
Podiatrist (Foot & Ankle Surgery)
6145 N THESTA ST
FRESNO, CA 93710
Fresno County (559) 436-4820

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 Elizabeth Pankow's NPI number?

The NPI number for Elizabeth Pankow is 1467031088. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Elizabeth Pankow located?

Elizabeth Pankow practices at 6145 N Thesta St, Fresno, CA 93710. The listed phone number is (559) 436-4820.

What is Elizabeth Pankow's specialty?

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

Is Elizabeth Pankow enrolled in Medicare?

Yes. Elizabeth Pankow 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.

Which organizations bill Medicare for Elizabeth Pankow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Pankow reassigns Medicare benefits to 3 organizations: Community Foundation Medical Group (Fresno, CA), Back Office Management Services LLC (Pittsburgh, PA) and Eastern Podiatry PLLC (Brooklyn, NY). Each 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 Elizabeth Pankow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Pankow was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.