CENTRAL CONNECTICUT FOOTCARE CENTER, LLC
NPI 1679655443
Podiatrist - Foot Surgery in Meriden, CT
About Central Connecticut Footcare Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL CONNECTICUT FOOTCARE CENTER, LLC (NPI 1679655443) is a healthcare organization registered as a foot surgery in Meriden, Connecticut and active in the NPI registry since October 2006. The organization lists Tina Anne Boucher, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Central Connecticut Footcare Center, Llc 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 Central Connecticut Footcare Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Central Connecticut Footcare Center, LLC's NPI number?
The NPI number for Central Connecticut Footcare Center, LLC is 1679655443. It was assigned to this organization in the NPPES registry on October 20, 2006.
Where is Central Connecticut Footcare Center, LLC located?
Central Connecticut Footcare Center, LLC is located at 807 Broad St., Meriden, CT 06450. The listed phone number is (203) 238-3668.
What is Central Connecticut Footcare Center, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Central Connecticut Footcare Center, LLC enrolled in Medicare?
Yes. Central Connecticut Footcare Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Connecticut Footcare Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Central Connecticut Footcare Center, LLC. 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 Central Connecticut Footcare Center, LLC was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Central Connecticut Footcare Center, Llc · NPI 1679655443
Foot Surgery organization in Meriden, Connecticut. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1679655443 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Tina Boucher, OWNER
## Practice location
- **Address:** 807 BROAD ST., Meriden, CT 06450-3802
- **Phone:** (203) 238-3668 · **Fax:** (203) 238-3670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2010
- **Other identifiers:** Medicare UPIN V06988 (CT); Medicare NSC 5939420001 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1679655443) · Data from the CMS NPPES public registry.