PREMIER CARE PODIATRY
NPI 1740953934
Clinic/Center - Podiatric in Philadelphia, PA

Active since July 26, 2021
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124(215) 289-7007(215) 289-3400 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2021, Jul 26, 2021 (2 updates tracked since 2021).

About Premier Care Podiatry NPPES

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

PREMIER CARE PODIATRY (NPI 1740953934) is a healthcare organization registered as a podiatric in Philadelphia, Pennsylvania and active in the NPI registry since July 2021. The organization lists Leslie Baeza, Owner, as its authorized official.

NPPES Registry Identity

NPI1740953934
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NamePREMIER CARE PODIATRY PC
Location Address4605 FRANKFORD AVEPhiladelphia, PA 19124-5803
Mailing Address4605 Frankford AvePhiladelphia, PA 19124-5803 · (215) 289-7007 · Fax (215) 289-3400
Fax(215) 289-3400
Organization SubpartNo
Authorized OfficialLeslie BaezaOwner · (215) 289-7007
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1740953934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
4605 FRANKFORD AVE, Philadelphia, PA 19124

Other Names 1

Doing Business AsPremier Care Podiatry

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Care Podiatry 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 Premier Care Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1942477021
4605 FRANKFORD AVE
Philadelphia, PA 19124
(215) 289-7007
✔ PECOS✔ Accepts MedicareSame address

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 Premier Care Podiatry PC's NPI number?

The NPI number for Premier Care Podiatry PC is 1740953934. It was assigned to this organization in the NPPES registry on July 26, 2021. The provider is doing business as Premier Care Podiatry.

Where is Premier Care Podiatry PC located?

Premier Care Podiatry PC is located at 4605 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 289-7007.

What is Premier Care Podiatry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Premier Care Podiatry PC enrolled in Medicare?

Yes. Premier Care Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Care Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Premier Care Podiatry PC. 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.

When was this NPI record last updated?

The NPPES record for Premier Care Podiatry PC was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.