OKLAHOMA MOBILE PODIATRY SERVICES LLC
NPI 1699339804
Podiatrist - Primary Podiatric Medicine in Edmond, OK

Q: What is Oklahoma Mobile Podiatry Services LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Active since April 24, 2019

2300 S BROADWAY STE 110, EDMOND, OK 73013(405) 285-8900(405) 285-8921 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Apr 24, 2019 (2 updates tracked since 2019).

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About Oklahoma Mobile Podiatry Services Llc NPPES

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

OKLAHOMA MOBILE PODIATRY SERVICES LLC (NPI 1699339804) is a healthcare organization registered as a primary podiatric medicine in Edmond, Oklahoma and active in the NPI registry since April 2019. The organization lists John Duck, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699339804

Entity TypeOrganization

Primary Taxonomy213EP1101X

Legal Business NameOKLAHOMA MOBILE PODIATRY SERVICES LLC

Location Address2300 S BROADWAY STE 110Edmond, OK 73013-4065

Mailing Address2300 S Broadway Ste 110Edmond, OK 73013-4065 · (405) 285-8900

Phone(405) 285-8900

Fax(405) 285-8921

Organization SubpartNo

Authorized OfficialJohn DuckChief Financial Officer · (054) 285-8900

Enumeration DateApril 24, 2019

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1699339804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

2300 S BROADWAY STE 110, Edmond, OK 73013

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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)

Oklahoma Mobile Podiatry Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oklahoma Mobile Podiatry Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Bryan Cain

Podiatry

NPI 1336284595

5101 SW LEE BLVD
Lawton, OK 73505

(580) 357-8720

✔ PECOS✔ Accepts Medicare90 mi

Jeremy Mason, DPM

Podiatry

NPI 1710154471

10229 E 96TH ST N SUITE 101
Owasso, OK 74055

(918) 272-8920

✔ PECOS✔ Accepts Medicare102 mi

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 Oklahoma Mobile Podiatry Services LLC's NPI number?

The NPI number for Oklahoma Mobile Podiatry Services LLC is 1699339804. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Oklahoma Mobile Podiatry Services LLC located?

Oklahoma Mobile Podiatry Services LLC is located at 2300 S Broadway Ste 110, Edmond, OK 73013. The listed phone number is (405) 285-8900.

What is Oklahoma Mobile Podiatry Services LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Oklahoma Mobile Podiatry Services LLC enrolled in Medicare?

Yes. Oklahoma Mobile Podiatry Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oklahoma Mobile Podiatry Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Oklahoma Mobile Podiatry Services 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 Oklahoma Mobile Podiatry Services LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.