KEYSTONE PODIATRY PLLC
NPI 1528947041
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY

Active since August 28, 2025
443 LINDEN BLVD, BROOKLYN, NY 11203(718) 719-7898(718) 719-7898 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keystone Podiatry Pllc NPPES

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

KEYSTONE PODIATRY PLLC (NPI 1528947041) is a healthcare organization registered as a foot & ankle surgery in Brooklyn, New York and active in the NPI registry since August 2025. The organization maintains a secondary practice location in Brooklyn and lists Nison Basalilov, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1528947041
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameKEYSTONE PODIATRY PLLC
Location Address443 LINDEN BLVDBrooklyn, NY 11203-2821
Mailing Address10540 63rd AveForest Hills, NY 11375-1337
Fax(718) 719-7898
Organization SubpartNo
Authorized OfficialNison BasalilovOwner/physician · (347) 799-5989
Enumeration DateAugust 28, 2025
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1528947041 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
443 LINDEN BLVD, Brooklyn, NY 11203

Secondary Practice Location 1

Location 11545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4000

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone 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 Keystone Podiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1487394284
443 LINDEN BLVD
Brooklyn, NY 11203
(718) 719-7898
✔ 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 Keystone Podiatry PLLC's NPI number?

The NPI number for Keystone Podiatry PLLC is 1528947041. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Keystone Podiatry PLLC located?

Keystone Podiatry PLLC is located at 443 Linden Blvd, Brooklyn, NY 11203. The listed phone number is (718) 719-7898.

What is Keystone Podiatry PLLC's specialty?

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

Is Keystone Podiatry PLLC enrolled in Medicare?

Yes. Keystone Podiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Podiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Keystone 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 Keystone Podiatry PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.