FOUR CORNERS FOOT AND ANKLE P.C.
NPI 1629416342
Podiatrist in Durango, CO
About Four Corners Foot And Ankle P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR CORNERS FOOT AND ANKLE P.C. (NPI 1629416342) is a healthcare organization registered as a podiatrist in Durango, Colorado and active in the NPI registry since June 2013. The organization lists Kayse L Lake, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Corners Foot And Ankle P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Four Corners Foot And Ankle P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Four Corners Foot And Ankle P.C.'s NPI number?
The NPI number for Four Corners Foot And Ankle P.C. is 1629416342. It was assigned to this organization in the NPPES registry on June 5, 2013.
Where is Four Corners Foot And Ankle P.C. located?
Four Corners Foot And Ankle P.C. is located at 1266 Escalante Dr Suite 201, Durango, CO 81301. The listed phone number is (970) 259-5303.
What is Four Corners Foot And Ankle P.C.'s specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Four Corners Foot And Ankle P.C. enrolled in Medicare?
Yes. Four Corners Foot And Ankle P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four Corners Foot And Ankle P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Four Corners Foot And Ankle P.C.. 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 Four Corners Foot And Ankle P.C. was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Four Corners Foot And Ankle P.c. · NPI 1629416342
Podiatrist organization in Durango, Colorado. Organization record, active in the CMS NPPES registry since June 5, 2013.
## Identity
- **NPI:** 1629416342 (Entity type: Organization)
- **Enumerated:** June 5, 2013
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Kayse Lake, OWNER
## Practice location
- **Address:** 1266 ESCALANTE DR, SUITE 201, Durango, CO 81301-7490
- **Phone:** (970) 259-5303 · **Fax:** (970) 259-3510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2026
- **Other identifiers:** Medicaid 51073277 (CO); Medicaid 80527850 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1629416342) · Data from the CMS NPPES public registry.