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PARK CENTER FOOT & ANKLE CLINIC
NPI 1629043252
Podiatrist in Boise, ID

Active since February 17, 2006
671 E. RIVERPARK LANE, STE 110, BOISE, ID 83706(208) 387-0900(208) 345-5883 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Center Foot & Ankle Clinic NPPES

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

PARK CENTER FOOT & ANKLE CLINIC (NPI 1629043252) is a healthcare organization registered as a podiatrist in Boise, Idaho and active in the NPI registry since February 2006. The organization lists Alyssa Barber, Biller, as its authorized official.

NPPES Registry Identity

NPI1629043252
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePARK CENTER FOOT AND ANKLE
Location Address671 E. RIVERPARK LANE, STE 110Boise, ID 83706
Mailing Address671 E. Riverpark Lane, Ste 110Boise, ID 83706 · (208) 387-0900 · Fax (208) 345-5883
Phone(208) 387-0900
Fax(208) 345-5883
Organization SubpartNo
Authorized OfficialAlyssa BarberBiller · (208) 387-0900
Enumeration DateFebruary 17, 2006
Last NPPES UpdateNovember 13, 2023
✔ NPI 1629043252 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 ID · P142
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.
671 E. RIVERPARK LANE, Boise, ID 83706
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Other Names 1

Doing Business AsPark Center Foot & Ankle Clinic

Other Identifiers 4

Medicaid002725800ID
OtherP1423ID · Blue Cross Of Id
Other000010015660ID · Regence Bs Of Id
OtherDA8994Railroad Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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)

Park Center Foot & 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 Park Center Foot & Ankle Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randy Lowe, DPM
Podiatry
NPI 1801071550
671 E RIVERPARK LANE STE 110
Boise, ID 83706
(208) 387-0900
✔ 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 Park Center Foot And Ankle's NPI number?

The NPI number for Park Center Foot And Ankle is 1629043252. It was assigned to this organization in the NPPES registry on February 17, 2006. The provider is doing business as Park Center Foot & Ankle Clinic.

Where is Park Center Foot And Ankle located?

Park Center Foot And Ankle is located at 671 E. Riverpark Lane Ste 110, Boise, ID 83706. The listed phone number is (208) 387-0900.

What is Park Center Foot And Ankle's specialty?

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

Is Park Center Foot And Ankle enrolled in Medicare?

Yes. Park Center Foot And Ankle is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Center Foot And Ankle?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Park Center Foot And Ankle. 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 Park Center Foot And Ankle accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Park Center Foot And Ankle 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 Park Center Foot And Ankle was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.