ELIZABETH YOUNGEWIRTH DPM PLLC
NPI 1699945030
Podiatrist - Foot Surgery in New York, NY

Active since February 29, 2008
4915 BROADWAY, NEW YORK, NY 10034(212) 567-6126 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2023, Oct 9, 2023, Nov 30, 2021 and 1 more (4 updates tracked since 2019).

About Elizabeth Youngewirth Dpm Pllc NPPES

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

ELIZABETH YOUNGEWIRTH DPM PLLC (NPI 1699945030) is a healthcare organization registered as a foot surgery in New York, New York and active in the NPI registry since February 2008. The organization lists Brian Flores, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1699945030
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameE YOUNGEWIRTH DPM PLLC
Location Address4915 BROADWAYNew York, NY 10034-3119
Mailing Address4915 BroadwayNew York, NY 10034-3119 · (212) 567-6126
Organization SubpartNo
Authorized OfficialBrian FloresCredentialing Specialist · (718) 313-0438
Enumeration DateFebruary 29, 2008
Last NPPES UpdateDecember 7, 20234 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1699945030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4915 BROADWAY, New York, NY 10034

Other Names 1

Other NameElizabeth Youngewirth Dpm Pllc

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)

Elizabeth Youngewirth Dpm Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120202000365Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elizabeth Youngewirth DPM PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1669418992
4915 BROADWAY
New York, NY 10034
(212) 567-6126
✔ PECOSSame address
Podiatry
NPI 1407114358
2680 E 28TH ST
Brooklyn, NY 11235
(917) 476-5791
✔ PECOS19 mi
Podiatry
NPI 1477050094
20 CROSSROADS DR STE 15
Owings Mills, MD 21117
(410) 363-4343
✔ PECOS✔ Accepts Medicare181 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 E Youngewirth Dpm PLLC's NPI number?

The NPI number for E Youngewirth Dpm PLLC is 1699945030. It was assigned to this organization in the NPPES registry on February 29, 2008. The provider is also known as Elizabeth Youngewirth Dpm PLLC.

Where is E Youngewirth Dpm PLLC located?

E Youngewirth Dpm PLLC is located at 4915 Broadway, New York, NY 10034. The listed phone number is (212) 567-6126.

What is E Youngewirth Dpm PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is E Youngewirth Dpm PLLC enrolled in Medicare?

Yes. E Youngewirth Dpm PLLC is registered in the Medicare PECOS enrollment system.

When is E Youngewirth Dpm PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 E Youngewirth Dpm PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to E Youngewirth Dpm PLLC. 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, 1 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 E Youngewirth Dpm PLLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.