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THE FOOT AND ANKLE CLINIC
NPI 1568964633
Podiatrist - Foot & Ankle Surgery in Loxahatchee, FL

Active since March 05, 2018
12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470(561) 809-2343(888) 491-0775 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2022, Oct 27, 2022, Aug 26, 2022 and 3 more (6 updates tracked since 2018).

About The Foot And Ankle Clinic NPPES

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

THE FOOT AND ANKLE CLINIC (NPI 1568964633) is a healthcare organization registered as a foot & ankle surgery in Loxahatchee, Florida and active in the NPI registry since March 2018. The organization lists Tyson Joseph Tabora, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1568964633
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTYSON TABORA DPM PA
Location Address12989 SOUTHERN BLVD STE 205Loxahatchee, FL 33470-9291
Mailing Address12989 Southern Blvd Ste 205Loxahatchee, FL 33470-9291 · (561) 809-2343 · Fax (888) 491-0775
Phone(561) 809-2343
Fax(888) 491-0775
Organization SubpartNo
Authorized OfficialTyson Joseph TaboraOwner/physician · (561) 809-2343
Enumeration DateMarch 5, 2018
Last NPPES UpdateAugust 3, 20236 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1568964633 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
License✔ Licensed in FL · PO3687
12989 SOUTHERN BLVD STE 205, Loxahatchee, FL 33470
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Foot And Ankle Clinic

Other Identifiers 1

Medicaid115978600FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Foot And Ankle Clinic 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 The Foot And Ankle Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tyson Tabora, DPM
Podiatry
NPI 1881087443
12989 SOUTHERN BLVD STE 205
Loxahatchee, FL 33470
(561) 809-2343
✔ 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 Tyson Tabora Dpm PA's NPI number?

The NPI number for Tyson Tabora Dpm PA is 1568964633. It was assigned to this organization in the NPPES registry on March 5, 2018. The provider is doing business as The Foot And Ankle Clinic.

Where is Tyson Tabora Dpm PA located?

Tyson Tabora Dpm PA is located at 12989 Southern Blvd Ste 205, Loxahatchee, FL 33470. The listed phone number is (561) 809-2343.

What is Tyson Tabora Dpm PA's specialty?

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

Is Tyson Tabora Dpm PA enrolled in Medicare?

Yes. Tyson Tabora Dpm PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tyson Tabora Dpm PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Tyson Tabora Dpm 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tyson Tabora Dpm PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Tyson Tabora Dpm PA 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 Tyson Tabora Dpm PA was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.