FEDRIGO PODIATRY A PROFESSIONAL CORPORATION
NPI 1790968618
Clinic/Center - Podiatric in Kentfield, CA
About Fedrigo Podiatry A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FEDRIGO PODIATRY A PROFESSIONAL CORPORATION (NPI 1790968618) is a healthcare organization registered as a podiatric in Kentfield, California and active in the NPI registry since December 2007. The organization maintains a secondary practice location in Kentfield and lists Anthony J Fedrigo, Dpm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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)
Fedrigo Podiatry A Professional Corporation 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fedrigo Podiatry A Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Kentfield, CA 94904
Harbor City, CA 90710
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 Fedrigo Podiatry A Professional Corporation's NPI number?
The NPI number for Fedrigo Podiatry A Professional Corporation is 1790968618. It was assigned to this organization in the NPPES registry on December 13, 2007.
Where is Fedrigo Podiatry A Professional Corporation located?
Fedrigo Podiatry A Professional Corporation is located at 1125 Sir Francis Drake Blvd Ste 1, Kentfield, CA 94904. The listed phone number is (415) 461-6555.
What is Fedrigo Podiatry A Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Fedrigo Podiatry A Professional Corporation enrolled in Medicare?
Yes. Fedrigo Podiatry A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Fedrigo Podiatry A Professional Corporation'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 (California, Clinic/Group Practice) 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 Fedrigo Podiatry A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Fedrigo Podiatry A Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fedrigo Podiatry A Professional Corporation was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Fedrigo Podiatry A Professional Corporation · NPI 1790968618
Podiatric organization in Kentfield, California. Organization record, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1790968618 (Entity type: Organization)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Anthony Fedrigo, DPM
## Practice location
- **Address:** 1125 SIR FRANCIS DRAKE BLVD STE 1, Kentfield, CA 94904-1418
- **Phone:** (415) 461-6555 · **Fax:** (415) 461-6556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2024
- **Other identifiers:** Other 000E42980 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1790968618) · Data from the CMS NPPES public registry.