SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC
NPI 1578627626
Podiatrist - Foot & Ankle Surgery in Shamokin Dam, PA

Active since December 21, 2006
3120 N OLD TRL STE A, SHAMOKIN DAM, PA 17876(570) 374-3668(570) 374-7306 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Susquehanna Valley Foot And Ankle Center, Inc NPPES

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

SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC (NPI 1578627626) is a healthcare organization registered as a foot & ankle surgery in Shamokin Dam, Pennsylvania and active in the NPI registry since December 2006. The organization lists Darla R Miller, Physician, President, as its authorized official.

NPPES Registry Identity

NPI1578627626
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC
Location Address3120 N OLD TRL STE AShamokin Dam, PA 17876-9428
Mailing Address3120 N Old Trl Ste AShamokin Dam, PA 17876-9428 · (570) 374-3668 · Fax (570) 374-7306
Fax(570) 374-7306
Organization SubpartNo
Authorized OfficialDarla R MillerPhysician, President · (570) 374-3668
Enumeration DateDecember 21, 2006
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1578627626 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
Licenses✔ Licensed in PA · SC004004L✔ Licensed in PA · SC004206R
3120 N OLD TRL STE A, Shamokin Dam, PA 17876

Other Identifiers 2

Medicaid0015721370004PA
Medicaid0015896440005PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Susquehanna Valley Foot And Ankle Center, Inc 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 Susquehanna Valley Foot And Ankle Center, Inc, 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 1194709493
3120 N OLD TRL STE A
Shamokin Dam, PA 17876
(570) 374-3668
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1427032382
3120 N OLD TRL STE A
Shamokin Dam, PA 17876
(570) 374-3668
✔ 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 Susquehanna Valley Foot And Ankle Center, Inc's NPI number?

The NPI number for Susquehanna Valley Foot And Ankle Center, Inc is 1578627626. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Susquehanna Valley Foot And Ankle Center, Inc located?

Susquehanna Valley Foot And Ankle Center, Inc is located at 3120 N Old Trl Ste A, Shamokin Dam, PA 17876. The listed phone number is (570) 374-3668.

What is Susquehanna Valley Foot And Ankle Center, Inc's specialty?

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

Is Susquehanna Valley Foot And Ankle Center, Inc enrolled in Medicare?

Yes. Susquehanna Valley Foot And Ankle Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susquehanna Valley Foot And Ankle Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Susquehanna Valley Foot And Ankle Center, Inc. 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.

When was this NPI record last updated?

The NPPES record for Susquehanna Valley Foot And Ankle Center, Inc was last updated on May 26, 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.