PEACHTREE PODIATRY,PLLC
NPI 1508241852
Podiatrist - Primary Podiatric Medicine in East Aurora, NY
About Peachtree Podiatry,pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACHTREE PODIATRY,PLLC (NPI 1508241852) is a healthcare organization registered as a primary podiatric medicine in East Aurora, New York and active in the NPI registry since July 2015. The organization lists Andrea Luisa Peach, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peachtree Podiatry,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peachtree 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 Peachtree Podiatry,pllc's NPI number?
The NPI number for Peachtree Podiatry,pllc is 1508241852. It was assigned to this organization in the NPPES registry on July 29, 2015.
Where is Peachtree Podiatry,pllc located?
Peachtree Podiatry,pllc is located at 45 S Grove St Apt 1, East Aurora, NY 14052. The listed phone number is (716) 970-4598.
What is Peachtree Podiatry,pllc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Peachtree Podiatry,pllc enrolled in Medicare?
Yes. Peachtree Podiatry,pllc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peachtree Podiatry,pllc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Peachtree 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 Peachtree Podiatry,pllc was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Peachtree Podiatry,pllc · NPI 1508241852
Primary Podiatric Medicine organization in East Aurora, New York. Organization record, active in the CMS NPPES registry since July 29, 2015.
## Identity
- **NPI:** 1508241852 (Entity type: Organization)
- **Enumerated:** July 29, 2015
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Andrea Peach, OWNER
## Practice location
- **Address:** 45 S GROVE ST APT 1, East Aurora, NY 14052-2365
- **Phone:** (716) 970-4598 · **Fax:** (716) 970-4588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** July 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1508241852) · Data from the CMS NPPES public registry.