P. ROMAN BURK DPM PC
NPI 1649563347
Podiatrist - Foot & Ankle Surgery in Meridian, ID
About P. Roman Burk Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
P. ROMAN BURK DPM PC (NPI 1649563347), doing business as Rocky Mountaint Foot & Ankle, is a healthcare organization registered as a foot & ankle surgery in Meridian, Idaho and active in the NPI registry since May 2011. The organization maintains 2 additional practice locations and lists Amber D Mahan, Practice Mananger, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
P. Roman Burk Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to P. Roman Burk DPM PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 P. Roman Burk Dpm PC's NPI number?
The NPI number for P. Roman Burk Dpm PC is 1649563347. It was assigned to this organization in the NPPES registry on May 27, 2011. The provider is doing business as Rocky Mountaint Foot & Ankle.
Where is P. Roman Burk Dpm PC located?
P. Roman Burk Dpm PC is located at 2667 E Gala Ct Ste 130, Meridian, ID 83642. The listed phone number is (208) 795-5090.
What is P. Roman Burk Dpm PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is P. Roman Burk Dpm PC enrolled in Medicare?
Yes. P. Roman Burk Dpm PC is registered in the Medicare PECOS enrollment system.
When is P. Roman Burk Dpm PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through P. Roman Burk Dpm PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to P. Roman Burk Dpm PC. 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. The largest specialties are Podiatry (4) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does P. Roman Burk Dpm PC accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list P. Roman Burk Dpm PC 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 P. Roman Burk Dpm PC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# P. Roman Burk Dpm Pc · NPI 1649563347
Foot & Ankle Surgery organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since May 27, 2011.
## Identity
- **NPI:** 1649563347 (Entity type: Organization)
- **Enumerated:** May 27, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Also known as:** Rocky Mountaint Foot & Ankle (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amber Mahan, PRACTICE MANANGER
## Practice location
- **Address:** 2667 E GALA CT STE 130, Meridian, ID 83642-2788
- **Phone:** (208) 795-5090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Idaho, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (4), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 808001900 (ID); Other P9383 (ID); Other 000000000154263 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1649563347) · Data from the CMS NPPES public registry.