TIDEWATER FOOT & ANKLE CENTER, PC
NPI 1497813158
Podiatrist - Foot & Ankle Surgery in Virginia Beach, VA

Q: What is Tidewater Foot & Ankle Center, PC's NPI number?

The NPI number for Tidewater Foot & Ankle Center, PC is 1497813158. It was assigned to this organization in the NPPES registry on December 5, 2006.

Q: What is Tidewater Foot & Ankle Center, PC's specialty?

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

Active since December 05, 2006

760 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455(757) 497-7575 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tidewater Foot & Ankle Center, Pc NPPES

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

TIDEWATER FOOT & ANKLE CENTER, PC (NPI 1497813158) is a healthcare organization registered as a foot & ankle surgery in Virginia Beach, Virginia and active in the NPI registry since December 2006. The organization lists William P. Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1497813158

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameTIDEWATER FOOT & ANKLE CENTER, PC

Location Address760 INDEPENDENCE BLVDVirginia Beach, VA 23455-6206

Mailing AddressPo Box 55350Virginia Beach, VA 23471-9350 · (757) 497-7575

Phone(757) 497-7575

Organization SubpartNo

Authorized OfficialWilliam P. GrantOwner · (757) 497-7575

Enumeration DateDecember 5, 2006

Last NPPES UpdateMay 13, 2009

✔ NPI 1497813158 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

760 INDEPENDENCE BLVD, Virginia Beach, VA 23455

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Other Identifiers 5

Medicare NSC0574290001VA

Medicaid9301658VA

Medicare PINC02490VA

Other480000051VA · Medicare Id

Medicare UPINT21968VA

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 MULTIPLE 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)

Tidewater Foot & Ankle Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tidewater Foot & Ankle Center, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

William Grant, D.P.M.

Podiatry

NPI 1982706685

760 INDEPENDENCE BLVD SUITE 1
Virginia Beach, VA 23455

(757) 497-7575

✔ PECOS✔ Accepts MedicareSame address

Lisa Grant-Mcdonald, DPM

Podiatry

NPI 1831509942

90 GREENSPRING DR
Stafford, VA 22554

(540) 373-4602

✔ PECOS✔ Accepts Medicare131 mi

Zab'di Sanchez Prada, DPM

Podiatry

NPI 1295364404

4433 VESTAL PKWY E
Vestal, NY 13850

(607) 772-8772

✔ PECOS✔ Accepts Medicare361 mi

Junaid Khazi

Podiatry

NPI 1619558384

8201 E RIVERSIDE BLVD
Rockford, IL 61114

(815) 971-7000

✔ PECOS✔ Accepts Medicare780 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 Tidewater Foot & Ankle Center, PC's NPI number?

The NPI number for Tidewater Foot & Ankle Center, PC is 1497813158. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Tidewater Foot & Ankle Center, PC located?

Tidewater Foot & Ankle Center, PC is located at 760 Independence Blvd, Virginia Beach, VA 23455. The listed phone number is (757) 497-7575.

What is Tidewater Foot & Ankle Center, PC's specialty?

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

Is Tidewater Foot & Ankle Center, PC enrolled in Medicare?

Yes. Tidewater Foot & Ankle Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Foot & Ankle Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Tidewater Foot & Ankle Center, PC. 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.

When was this NPI record last updated?

The NPPES record for Tidewater Foot & Ankle Center, PC was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.