INDIANOLA FOOT AND ANKLE CLINIC PLLC
NPI 1750099867
Podiatrist in Indianola, IA

Active since November 08, 2022
1517 N 1ST ST, INDIANOLA, IA 50125(515) 666-1151(515) 461-9995 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indianola Foot And Ankle Clinic Pllc NPPES

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

INDIANOLA FOOT AND ANKLE CLINIC PLLC (NPI 1750099867) is a healthcare organization registered as a podiatrist in Indianola, Iowa and active in the NPI registry since November 2022. The organization lists Randy J Metzger, Owner, as its authorized official.

NPPES Registry Identity

NPI1750099867
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameINDIANOLA FOOT AND ANKLE CLINIC PLLC
Location Address1517 N 1ST STIndianola, IA 50125-3703
Mailing Address1517 N 1st StIndianola, IA 50125-3703 · (515) 666-1151
Fax(515) 461-9995
Organization SubpartNo
Authorized OfficialRandy J MetzgerOwner · (515) 343-4180
Enumeration DateNovember 8, 2022
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1750099867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1517 N 1ST ST, Indianola, IA 50125

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

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)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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
StateIowaEnrollment IDO20230315000945DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Indianola Foot And Ankle Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1568776334
1517 N 1ST ST
Indianola, IA 50125
(515) 666-1222
✔ 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 Indianola Foot And Ankle Clinic PLLC's NPI number?

The NPI number for Indianola Foot And Ankle Clinic PLLC is 1750099867. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Indianola Foot And Ankle Clinic PLLC located?

Indianola Foot And Ankle Clinic PLLC is located at 1517 N 1st St, Indianola, IA 50125. The listed phone number is (515) 666-1151.

What is Indianola Foot And Ankle Clinic PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Indianola Foot And Ankle Clinic PLLC enrolled in Medicare?

Yes. Indianola Foot And Ankle Clinic PLLC is registered in the Medicare PECOS enrollment system.

When is Indianola Foot And Ankle Clinic PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Iowa, Physician - Podiatry) is due for revalidation by February 28, 2027. 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 Indianola Foot And Ankle Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Indianola Foot And Ankle Clinic 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.

When was this NPI record last updated?

The NPPES record for Indianola Foot And Ankle Clinic PLLC was last updated on January 31, 2024. 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.