PORT RICHMOND PODIATRY LLC.
NPI 1841968302
Podiatrist - Primary Podiatric Medicine in Philadelphia, PA

Active since August 31, 2021
2416 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 426-8637(215) 423-8637 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Port Richmond Podiatry Llc. NPPES

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

PORT RICHMOND PODIATRY LLC. (NPI 1841968302) is a healthcare organization registered as a primary podiatric medicine in Philadelphia, Pennsylvania and active in the NPI registry since August 2021. The organization lists Jinho Yoo, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1841968302
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePORT RICHMOND PODIATRY LLC.
Location Address2416 E ALLEGHENY AVEPhiladelphia, PA 19134-4403
Mailing Address2416 E Allegheny AvePhiladelphia, PA 19134-4403 · (215) 426-8637
Fax(215) 423-8637
Organization SubpartNo
Authorized OfficialJinho YooPodiatrist · (215) 426-8637
Enumeration DateAugust 31, 2021
Last NPPES UpdateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1841968302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
2416 E ALLEGHENY AVE, Philadelphia, PA 19134

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)

Port Richmond Podiatry Llc. 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 Port Richmond Podiatry LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1780065144
2416 E ALLEGHENY AVE
Philadelphia, PA 19134
(215) 426-8637
✔ PECOS✔ Accepts MedicareSame 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 Port Richmond Podiatry LLC.'s NPI number?

The NPI number for Port Richmond Podiatry LLC. is 1841968302. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Port Richmond Podiatry LLC. located?

Port Richmond Podiatry LLC. is located at 2416 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (215) 426-8637.

What is Port Richmond Podiatry LLC.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Port Richmond Podiatry LLC. enrolled in Medicare?

Yes. Port Richmond Podiatry LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Richmond Podiatry LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Port Richmond Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Port Richmond Podiatry LLC. was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.