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PODIATRY HEALTH SERVICES LLC
NPI 1700441342
Podiatrist - Foot & Ankle Surgery in Port St Lucie, FL

Active since May 09, 2019CLIA 10D2312564 · Certificate of Compliance
1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 301-1951(772) 934-7297 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2022, Feb 24, 2020, Aug 30, 2019 and 1 more (4 updates tracked since 2019).

About Podiatry Health Services Llc NPPES

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

PODIATRY HEALTH SERVICES LLC (NPI 1700441342) is a healthcare organization registered as a foot & ankle surgery in Port St Lucie, Florida and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through April 15, 2027, maintains 3 additional practice locations, and lists Kristopher P Jerry, Podiatric Surgeon, as its authorized official.

NPPES Registry Identity

NPI1700441342
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY HEALTH SERVICES LLC
Location Address1846 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5545
Mailing Address1846 Se Port St Lucie BlvdPort St Lucie, FL 34952-5545 · (772) 301-1951 · Fax (772) 934-7297
Phone(772) 301-1951
Fax(772) 934-7297
Organization SubpartNo
Authorized OfficialKristopher P JerryPodiatric Surgeon · (772) 301-1951
Enumeration DateMay 9, 2019
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1700441342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatristTaxonomy 213E00000X
1846 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Secondary Practice Locations 3

Location 1721 Colorado AveStuart, FL 34994-3017 · Phone (772) 301-1951
Location 25700 Stirling Rd Ste 100Hollywood, FL 33021-1522 · Phone (772) 301-1951
Location 39950 Stirling Rd Ste 108Hollywood, FL 33024-8001 · Phone (954) 869-4848 · Fax (772) 934-7297

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Podiatry Health Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Kristopher Jerry, DPM
Podiatry
NPI 1063861979
1846 SE PORT ST LUCIE BLVD
Port St Lucie, FL 34952
(772) 301-1951
✔ PECOS✔ Accepts MedicareSame address
Milton Rosario, DPM
Podiatry
NPI 1902398175
1846 SE PORT ST LUCIE BLVD
Port St Lucie, FL 34952
(772) 301-1951
✔ PECOS✔ Accepts MedicareSame address
Marlon Osbourne, M.D.
Pathology
NPI 1295092583
3561 SW 10TH ST
Pompano Beach, FL 33069
(954) 977-7959
✔ PECOS✔ Accepts Medicare73 mi
Donovan Perry
Podiatry
NPI 1205577871
1660 FEEHANVILLE DR STE 450
Mount Prospect, IL 60056
(847) 750-4856
✔ PECOS✔ Accepts Medicare1,108 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2312564

Podiatry Health Services LLC · Hollywood, FL
Active · expires Apr 15, 2027
CLIA Number10D2312564
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorStephen L. Robinson
Laboratory Phone(954) 869-4848
Laboratory LocationPodiatry Health Services LLC9950 Stirling Road Suite 108, Hollywood, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Podiatry Health Services LLC's NPI number?

The NPI number for Podiatry Health Services LLC is 1700441342. It was assigned to this organization in the NPPES registry on May 9, 2019.

Where is Podiatry Health Services LLC located?

Podiatry Health Services LLC is located at 1846 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 301-1951.

What is Podiatry Health Services LLC's specialty?

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

Is Podiatry Health Services LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Podiatry Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Podiatry Health 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. The largest specialties are Podiatry (3) and Pathology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Podiatry Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2312564) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Podiatry Health Services LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Podiatry Health Services LLC 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 Podiatry Health Services LLC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.