LAKESIDE FOOT AND ANKLE CENTER
NPI 1780773317
Podiatrist - Foot & Ankle Surgery in Leesburg, FL
About Lakeside Foot And Ankle Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE FOOT AND ANKLE CENTER (NPI 1780773317) is a healthcare organization registered as a foot & ankle surgery in Leesburg, Florida and active in the NPI registry since October 2006. The organization lists Karsten S Weber, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
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)
Lakeside Foot And Ankle Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeside Foot And Ankle Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Lake Foot And Ankle PA's NPI number?
The NPI number for Lake Foot And Ankle PA is 1780773317. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Lakeside Foot And Ankle Center.
Where is Lake Foot And Ankle PA located?
Lake Foot And Ankle PA is located at 1330 Citizens Blvd Suite 301, Leesburg, FL 34748. The listed phone number is (352) 728-1252.
What is Lake Foot And Ankle PA's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Lake Foot And Ankle PA enrolled in Medicare?
Yes. Lake Foot And Ankle PA is registered in the Medicare PECOS enrollment system.
When is Lake Foot And Ankle PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 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 Lake Foot And Ankle PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Lake Foot And Ankle PA. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Foot And Ankle PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lake Foot And Ankle PA 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 Lake Foot And Ankle PA was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lakeside Foot And Ankle Center · NPI 1780773317
Foot & Ankle Surgery organization in Leesburg, Florida. Organization record, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1780773317 (Entity type: Organization)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Legal business name:** Lake Foot And Ankle Pa
- **Organization subpart:** No
- **Authorized official:** Karsten Weber, OWNER/PRESIDENT
## Practice location
- **Address:** 1330 CITIZENS BLVD, SUITE 301, Leesburg, FL 34748-3959
- **Phone:** (352) 728-1252 · **Fax:** (352) 728-0079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2009
- **Other identifiers:** Medicare NSC 5875470001 (FL); Medicare PIN AF330; Other DG4530 (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780773317) · Data from the CMS NPPES public registry.