ISAIAH TATES DPM
NPI 1699410506
Podiatrist - Foot & Ankle Surgery in Harrisburg, PA

Active since May 04, 2022PECOS Enrolled
205 S FRONT STREET, BRADY 905, HARRISBURG, PA 17104(717) 231-8429 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 20, 2026, Jan 4, 2023, May 4, 2022 (3 updates tracked since 2022).

About Isaiah Tates Dpm NPPES

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

ISAIAH TATES DPM (NPI 1699410506) is an individual foot & ankle surgery provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SC007321) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699410506
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameISAIAH TATESCredential: DPM
Location Address205 S FRONT STREET, BRADY 905Harrisburg, PA 17104
Mailing Address207 Sage BlvdMiddletown, PA 17057-2360
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2022
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1699410506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC007321
205 S FRONT STREET, BRADY 905, Harrisburg, PA 17104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaiah Tates Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567937899
PECOS Enrollment IDI20260406000067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Isaiah Tates reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Podiatrist
267 BROADWAY FL 2
Brooklyn, NY 11211
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group
General Practice
60 N HIGHWAY 17 92
Debary, FL 32713
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group

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 Isaiah Tates's NPI number?

The NPI number for Isaiah Tates is 1699410506. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Isaiah Tates located?

Isaiah Tates practices at 205 S Front Street, Brady 905, Harrisburg, PA 17104. The listed phone number is (717) 231-8429.

What is Isaiah Tates's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Isaiah Tates enrolled in Medicare?

Yes. Isaiah Tates is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Isaiah Tates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isaiah Tates reassigns Medicare benefits to 2 organizations: Pedirite Medical PA PLLC (Brooklyn, NY) and Pedirite Medical Fl LLC (Debary, FL). Each 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 Isaiah Tates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Isaiah Tates was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.