PORTONOVA FOOT AND ANKLE SPECIALISTS LLC
NPI 1750762043
Podiatrist - Foot & Ankle Surgery in Bloomsburg, PA

Q: What is Portonova Foot And Ankle Specialists LLC's specialty?

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

Active since June 12, 2015

6850 LOWS RD STE 316, BLOOMSBURG, PA 17815(570) 387-2202(570) 387-2203 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2021, Nov 19, 2020, May 20, 2016 (3 updates tracked since 2016).

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About Portonova Foot And Ankle Specialists Llc NPPES

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

PORTONOVA FOOT AND ANKLE SPECIALISTS LLC (NPI 1750762043) is a healthcare organization registered as a foot & ankle surgery in Bloomsburg, Pennsylvania and active in the NPI registry since June 2015. The organization maintains 2 additional practice locations and lists David J Portonova, Owner, as its authorized official.

NPPES Registry Identity

NPI1750762043

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePORTONOVA FOOT AND ANKLE SPECIALISTS LLC

Location Address6850 LOWS RD STE 316Bloomsburg, PA 17815-8708

Mailing AddressPo Box 1935Kingston, PA 18704-0935 · (570) 288-8881 · Fax (570) 288-8065

Phone(570) 387-2202

Fax(570) 387-2203

Organization SubpartNo

Authorized OfficialDavid J PortonovaOwner · (570) 387-2202

Enumeration DateJune 12, 2015

Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1750762043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in PA · SC006404

6850 LOWS RD STE 316, Bloomsburg, PA 17815

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Secondary Practice Locations 2

Location 1642 Brookhill Square, Route 93 Ste 36-1Conyngham, PA 18219-0860 · Phone (570) 359-2024 · Fax (570) 359-2025

Location 287 Oxford StHanover Twp, PA 18706-3350 · Phone (570) 829-3668

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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)

Portonova Foot And Ankle Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Portonova Foot And Ankle Specialists LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

David Portonova, D.P.M

Podiatry

NPI 1457606865

6850 LOWS RD STE 316
Bloomsburg, PA 17815

(570) 387-2202

✔ PECOS✔ Accepts MedicareSame address

Matthew Kujat, DPM

Podiatry

NPI 1801246640

6850 LOWS RD STE 316
Bloomsburg, PA 17815

(570) 387-2202

✔ PECOS✔ Accepts Medicare0.4 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 Portonova Foot And Ankle Specialists LLC's NPI number?

The NPI number for Portonova Foot And Ankle Specialists LLC is 1750762043. It was assigned to this organization in the NPPES registry on June 12, 2015.

Where is Portonova Foot And Ankle Specialists LLC located?

Portonova Foot And Ankle Specialists LLC is located at 6850 Lows Rd Ste 316, Bloomsburg, PA 17815. The listed phone number is (570) 387-2202.

What is Portonova Foot And Ankle Specialists LLC's specialty?

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

Is Portonova Foot And Ankle Specialists LLC enrolled in Medicare?

Yes. Portonova Foot And Ankle Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portonova Foot And Ankle Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Portonova Foot And Ankle Specialists 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portonova Foot And Ankle Specialists LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Portonova Foot And Ankle Specialists 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 Portonova Foot And Ankle Specialists LLC was last updated on September 17, 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.