FOOT SPECIALISTS OF TYLER, PA
NPI 1568504371
Podiatrist in Tyler, TX

Active since February 12, 2007
649 S BROADWAY AVE, SUITE 2, TYLER, TX 75701(903) 592-7200(903) 592-7211 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foot Specialists Of Tyler, Pa NPPES

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

FOOT SPECIALISTS OF TYLER, PA (NPI 1568504371) is a healthcare organization registered as a podiatrist in Tyler, Texas and active in the NPI registry since February 2007. The organization lists Charles D Rhodus, Owner, as its authorized official.

NPPES Registry Identity

NPI1568504371
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT SPECIALISTS OF TYLER, PA
Location Address649 S BROADWAY AVE, SUITE 2Tyler, TX 75701-1602
Mailing Address649 S Broadway Ave, Suite 2Tyler, TX 75701-1602 · (903) 592-7200 · Fax (903) 592-7211
Fax(903) 592-7211
Organization SubpartNo
Authorized OfficialCharles D RhodusOwner · (903) 592-7200
Enumeration DateFebruary 12, 2007
Last NPPES UpdateNovember 13, 2009
✔ NPI 1568504371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TX · 1375
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
649 S BROADWAY AVE, Tyler, TX 75701

Other Identifiers 6

OtherDF6646TX · Medicare Railroad
Medicare PIN00X522TX
Other0013PDTX · Bcbs
Medicaid186188201TX
Medicare NSC5885310001TX
Medicare UPINU67023

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot Specialists Of Tyler, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Foot Specialists Of Tyler, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1891920583
5826 NEW COPELAND RD
Tyler, TX 75703
(903) 592-7200
✔ PECOS✔ Accepts Medicare4.1 mi
Podiatry
NPI 1962495341
5826 NEW COPELAND RD
Tyler, TX 75703
(903) 592-7200
✔ PECOS✔ Accepts Medicare4.1 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 Foot Specialists Of Tyler, PA's NPI number?

The NPI number for Foot Specialists Of Tyler, PA is 1568504371. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Foot Specialists Of Tyler, PA located?

Foot Specialists Of Tyler, PA is located at 649 S Broadway Ave Suite 2, Tyler, TX 75701. The listed phone number is (903) 592-7200.

What is Foot Specialists Of Tyler, PA's specialty?

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

Is Foot Specialists Of Tyler, PA enrolled in Medicare?

Yes. Foot Specialists Of Tyler, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot Specialists Of Tyler, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Foot Specialists Of Tyler, PA. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Foot Specialists Of Tyler, PA was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.