PENOBSCOT FAMILY FOOT AND ANKLE CENTER
NPI 1841690377
Podiatrist - Foot & Ankle Surgery in Bangor, ME

Q: What is Penobscot Family Foot And Ankle Center's specialty?

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

Active since September 03, 2014

205 FRENCH ST, BANGOR, ME 04401(207) 945-5554(207) 945-5196 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Penobscot Family Foot And Ankle Center NPPES

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

PENOBSCOT FAMILY FOOT AND ANKLE CENTER (NPI 1841690377) is a healthcare organization registered as a foot & ankle surgery in Bangor, Maine and active in the NPI registry since September 2014. The organization lists Diane Maria Desantis, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1841690377

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePENOBSCOT FAMILY FOOT AND ANKLE CENTER

Location Address205 FRENCH STBangor, ME 04401-5064

Mailing Address205 French StBangor, ME 04401-5064 · (207) 945-5554 · Fax (207) 945-5196

Phone(207) 945-5554

Fax(207) 945-5196

Organization SubpartNo

Authorized OfficialDiane Maria DesantisBilling Manager · (781) 231-7026

Enumeration DateSeptember 3, 2014

✔ NPI 1841690377 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 ME · POD1032

205 FRENCH ST, Bangor, ME 04401

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Other Identifiers 1

Medicare PINPENDINGME

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penobscot Family Foot And Ankle Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Penobscot Family Foot And Ankle Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heidi Brewer, DPM

Podiatry

NPI 1710030226

205 FRENCH ST
Bangor, ME 04401

(207) 945-5554

✔ PECOSSame 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 Penobscot Family Foot And Ankle Center's NPI number?

The NPI number for Penobscot Family Foot And Ankle Center is 1841690377. It was assigned to this organization in the NPPES registry on September 3, 2014.

Where is Penobscot Family Foot And Ankle Center located?

Penobscot Family Foot And Ankle Center is located at 205 French St, Bangor, ME 04401. The listed phone number is (207) 945-5554.

What is Penobscot Family Foot And Ankle Center's specialty?

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

Is Penobscot Family Foot And Ankle Center enrolled in Medicare?

Yes. Penobscot Family Foot And Ankle Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Family Foot And Ankle Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Penobscot Family Foot And Ankle Center. 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 Penobscot Family Foot And Ankle Center was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.