PINOLE PODIATRY GROUP INC
NPI 1609129881
Podiatrist in Pinole, CA

Active since October 25, 2012
2150 APPIAN WAY STE 206, PINOLE, CA 94564(510) 724-1530 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pinole Podiatry Group Inc NPPES

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

PINOLE PODIATRY GROUP INC (NPI 1609129881) is a healthcare organization registered as a podiatrist in Pinole, California and active in the NPI registry since October 2012. The organization lists Michael D Grimes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609129881
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePINOLE PODIATRY GROUP INC
Location Address2150 APPIAN WAY STE 206Pinole, CA 94564-2520
Mailing Address2150 Appian Way Ste 206Pinole, CA 94564-2520 · (510) 724-1530
Organization SubpartNo
Authorized OfficialMichael D GrimesCeo · (510) 724-1530
Enumeration DateOctober 25, 2012
Last NPPES UpdateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1609129881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E4413
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.
2150 APPIAN WAY STE 206, Pinole, CA 94564

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)

Pinole Podiatry Group Inc 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 Pinole Podiatry Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1275500720
2150 APPIAN WAY STE 206
Pinole, CA 94564
(510) 724-1530
✔ 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 Pinole Podiatry Group Inc's NPI number?

The NPI number for Pinole Podiatry Group Inc is 1609129881. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Pinole Podiatry Group Inc located?

Pinole Podiatry Group Inc is located at 2150 Appian Way Ste 206, Pinole, CA 94564. The listed phone number is (510) 724-1530.

What is Pinole Podiatry Group Inc's specialty?

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

Is Pinole Podiatry Group Inc enrolled in Medicare?

Yes. Pinole Podiatry Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pinole Podiatry Group Inc?

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

When was this NPI record last updated?

The NPPES record for Pinole Podiatry Group Inc was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.