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AVID FOOT & ANKLE CENTER, PLLC
NPI 1518536200
Podiatrist in Little Elm, TX

Active since June 17, 2021
2601 LITTLE ELM PKWY STE 803, LITTLE ELM, TX 75068(469) 430-9987(972) 767-3608 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avid Foot & Ankle Center, Pllc NPPES

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

AVID FOOT & ANKLE CENTER, PLLC (NPI 1518536200) is a healthcare organization registered as a podiatrist in Little Elm, Texas and active in the NPI registry since June 2021. The organization lists Dae Sik Alex Kim, President, as its authorized official.

NPPES Registry Identity

NPI1518536200
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameAVID FOOT & ANKLE CENTER, PLLC
Location Address2601 LITTLE ELM PKWY STE 803Little Elm, TX 75068-1920
Mailing Address2601 Little Elm Pkwy Ste 803Little Elm, TX 75068-1920 · (469) 430-9987 · Fax (972) 767-3608
Phone(469) 430-9987
Fax(972) 767-3608
Organization SubpartNo
Authorized OfficialDae Sik Alex KimPresident · (469) 430-9987
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1518536200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2601 LITTLE ELM PKWY STE 803, Little Elm, TX 75068
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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 SINGLE SPECIALTY GROUP

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)

Avid Foot & Ankle Center, 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211110000264Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Avid Foot & Ankle Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dae Sik Alex Kim, D.P.M.
Podiatry
NPI 1376959700
2601 LITTLE ELM PKWY STE 803
Little Elm, TX 75068
(469) 430-9987
✔ PECOS✔ Accepts MedicareSame address

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 Avid Foot & Ankle Center, PLLC's NPI number?

The NPI number for Avid Foot & Ankle Center, PLLC is 1518536200. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Avid Foot & Ankle Center, PLLC located?

Avid Foot & Ankle Center, PLLC is located at 2601 Little Elm Pkwy Ste 803, Little Elm, TX 75068. The listed phone number is (469) 430-9987.

What is Avid Foot & Ankle Center, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Avid Foot & Ankle Center, PLLC enrolled in Medicare?

Yes. Avid Foot & Ankle Center, PLLC is registered in the Medicare PECOS enrollment system.

When is Avid Foot & Ankle Center, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) 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 Avid Foot & Ankle Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Avid Foot & Ankle Center, 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 Avid Foot & Ankle Center, PLLC was last updated on June 17, 2021. 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.