ACTIVE FOOT AND ANKLE OF CAROLINA PLLC
NPI 1730574757
Podiatrist - Foot Surgery in Elizabeth City, NC

Active since April 06, 2015
1076 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909(252) 333-3111(252) 333-1105 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Foot And Ankle Of Carolina Pllc NPPES

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

ACTIVE FOOT AND ANKLE OF CAROLINA PLLC (NPI 1730574757) is a healthcare organization registered as a foot surgery in Elizabeth City, North Carolina and active in the NPI registry since April 2015. The organization lists Munjed S Salem, Owner, as its authorized official.

NPPES Registry Identity

NPI1730574757
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameACTIVE FOOT AND ANKLE OF CAROLINA PLLC
Location Address1076 US HIGHWAY 17 SElizabeth City, NC 27909-7627
Mailing Address632 Cedar Rd, Suite BChesapeake, VA 23322-8376 · (757) 547-0123
Fax(252) 333-1105
Organization SubpartNo
Authorized OfficialMunjed S SalemOwner · (757) 547-0123
Enumeration DateApril 6, 2015
Last NPPES UpdateApril 18, 2019
✔ NPI 1730574757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
1076 US HIGHWAY 17 S, Elizabeth City, NC 27909

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

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)

Active Foot And Ankle Of Carolina Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Active Foot And Ankle Of Carolina PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1265051619
369 JOHNSTOWN RD
Chesapeake, VA 23322
(757) 547-0123
✔ PECOS✔ Accepts Medicare29 mi
Podiatry
NPI 1558681197
369 JOHNSTOWN RD
Chesapeake, VA 23322
(757) 547-0123
✔ PECOS✔ Accepts Medicare29 mi
Podiatry
NPI 1568982247
632 CEDAR RD STE B
Chesapeake, VA 23322
(757) 547-0123
✔ PECOS✔ Accepts Medicare29 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 Active Foot And Ankle Of Carolina PLLC's NPI number?

The NPI number for Active Foot And Ankle Of Carolina PLLC is 1730574757. It was assigned to this organization in the NPPES registry on April 6, 2015.

Where is Active Foot And Ankle Of Carolina PLLC located?

Active Foot And Ankle Of Carolina PLLC is located at 1076 Us Highway 17 S, Elizabeth City, NC 27909. The listed phone number is (252) 333-3111.

What is Active Foot And Ankle Of Carolina PLLC's specialty?

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

Is Active Foot And Ankle Of Carolina PLLC enrolled in Medicare?

Yes. Active Foot And Ankle Of Carolina PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Foot And Ankle Of Carolina PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Active Foot And Ankle Of Carolina 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Foot And Ankle Of Carolina PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Active Foot And Ankle Of Carolina PLLC 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 Active Foot And Ankle Of Carolina PLLC was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.