GOLDEN AGE FOOTCARE INC
NPI 1700085453
Podiatrist - Primary Podiatric Medicine in Kansas City, MO
About Golden Age Footcare Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN AGE FOOTCARE INC (NPI 1700085453) is a healthcare organization registered as a primary podiatric medicine in Kansas City, Missouri and active in the NPI registry since July 2007. The organization lists Boremy Ly, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Golden Age Footcare Inc 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 Golden Age Footcare Inc, 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 Golden Age Footcare Inc's NPI number?
The NPI number for Golden Age Footcare Inc is 1700085453. It was assigned to this organization in the NPPES registry on July 13, 2007.
Where is Golden Age Footcare Inc located?
Golden Age Footcare Inc is located at 7818 N Hull Ave, Kansas City, MO 64151. The listed phone number is (816) 304-8452.
What is Golden Age Footcare Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Golden Age Footcare Inc enrolled in Medicare?
Yes. Golden Age Footcare Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Golden Age Footcare Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Golden Age Footcare Inc. 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.
What insurance does Golden Age Footcare Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Golden Age Footcare Inc 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 Golden Age Footcare Inc was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Golden Age Footcare Inc · NPI 1700085453
Primary Podiatric Medicine organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since July 13, 2007.
## Identity
- **NPI:** 1700085453 (Entity type: Organization)
- **Enumerated:** July 13, 2007
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Boremy Ly, PRESIDENT
## Practice location
- **Address:** 7818 N HULL AVE, Kansas City, MO 64151-1532
- **Phone:** (816) 304-8452
## 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 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1700085453) · Data from the CMS NPPES public registry.