BROWARD FOOT AND ANKLE SPECIALIST P A
NPI 1790046290
Podiatrist - Foot & Ankle Surgery in Pompano Beach, FL
About Broward Foot And Ankle Specialist P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROWARD FOOT AND ANKLE SPECIALIST P A (NPI 1790046290) is a healthcare organization registered as a foot & ankle surgery in Pompano Beach, Florida and active in the NPI registry since June 2012. The organization lists Efrosini Fotopoulos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Broward Foot And Ankle Specialist P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Broward Foot And Ankle Specialist P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Broward Foot And Ankle Specialist P A's NPI number?
The NPI number for Broward Foot And Ankle Specialist P A is 1790046290. It was assigned to this organization in the NPPES registry on June 1, 2012.
Where is Broward Foot And Ankle Specialist P A located?
Broward Foot And Ankle Specialist P A is located at 2205 Bay Dr, Pompano Beach, FL 33062. The listed phone number is (917) 582-4010.
What is Broward Foot And Ankle Specialist P A's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Broward Foot And Ankle Specialist P A enrolled in Medicare?
Yes. Broward Foot And Ankle Specialist P A is registered in the Medicare PECOS enrollment system.
When is Broward Foot And Ankle Specialist P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by November 30, 2026. 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 Broward Foot And Ankle Specialist P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Broward Foot And Ankle Specialist P A. 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 Broward Foot And Ankle Specialist P A was last updated on October 3, 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.
# Broward Foot And Ankle Specialist P A · NPI 1790046290
Foot & Ankle Surgery organization in Pompano Beach, Florida. Organization record, active in the CMS NPPES registry since June 1, 2012.
## Identity
- **NPI:** 1790046290 (Entity type: Organization)
- **Enumerated:** June 1, 2012
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Efrosini Fotopoulos, PRESIDENT
## Practice location
- **Address:** 2205 BAY DR, Pompano Beach, FL 33062-2912
- **Phone:** (917) 582-4010 · **Fax:** (718) 766-8606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Florida, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2019
- **Other identifiers:** Medicaid 010144200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790046290) · Data from the CMS NPPES public registry.