FAMILY FOOT CLINIC LLC
NPI 1538679196
Podiatrist - Foot & Ankle Surgery in West Linn, OR

Active since October 09, 2017
1880 WILLAMETTE FALLS DR STE 111, WEST LINN, OR 97068(503) 657-1900 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Foot Clinic Llc NPPES

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

FAMILY FOOT CLINIC LLC (NPI 1538679196) is a healthcare organization registered as a foot & ankle surgery in West Linn, Oregon and active in the NPI registry since October 2017. The organization lists Heather Keeler, Member, as its authorized official.

NPPES Registry Identity

NPI1538679196
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFAMILY FOOT CLINIC LLC
Location Address1880 WILLAMETTE FALLS DR STE 111West Linn, OR 97068-4653
Mailing Address1880 Willamette Falls Dr Ste 111West Linn, OR 97068-4653 · (503) 657-1900
Organization SubpartNo
Authorized OfficialHeather KeelerMember · (503) 657-1900
Enumeration DateOctober 9, 2017
✔ NPI 1538679196 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
1880 WILLAMETTE FALLS DR STE 111, West Linn, OR 97068

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

Accepted Insurance

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)

Family Foot Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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
StateOregonEnrollment IDO20180322000412DME · Physician - PodiatryDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Foot Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1659774792
1880 WILLAMETTE FALLS DR STE 111
West Linn, OR 97068
(503) 657-1900
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1821431727
1880 WILLAMETTE FALLS DR #111
West Linn, OR 97068
(503) 657-1900
✔ 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 Family Foot Clinic LLC's NPI number?

The NPI number for Family Foot Clinic LLC is 1538679196. It was assigned to this organization in the NPPES registry on October 9, 2017.

Where is Family Foot Clinic LLC located?

Family Foot Clinic LLC is located at 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068. The listed phone number is (503) 657-1900.

What is Family Foot Clinic LLC's specialty?

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

Is Family Foot Clinic LLC enrolled in Medicare?

Yes. Family Foot Clinic LLC is registered in the Medicare PECOS enrollment system.

When is Family Foot Clinic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Podiatry) is due for revalidation by October 31, 2026. 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 Family Foot Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Family Foot Clinic LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Foot Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Family Foot Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Foot Clinic LLC was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.