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LEPOER PODIATRY, INC.
NPI 1871123372
Clinic/Center in Providence, RI

Active since January 23, 2020
1 RANDALL SQ STE 408, PROVIDENCE, RI 02904(401) 453-2000(401) 453-2002 Get Directions Write a Review

NPPES record last updated: November 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lepoer Podiatry, Inc. NPPES

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

LEPOER PODIATRY, INC. (NPI 1871123372) is a healthcare organization registered as a clinic/center in Providence, Rhode Island and active in the NPI registry since January 2020. The organization lists Krysia Lepoer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1871123372
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEPOER PODIATRY, INC.
Location Address1 RANDALL SQ STE 408Providence, RI 02904-7405
Mailing Address1 Randall Sq Ste 408Providence, RI 02904-7405 · (401) 453-2000 · Fax (401) 453-2002
Phone(401) 453-2000
Fax(401) 453-2002
Organization SubpartNo
Authorized OfficialKrysia LepoerAuthorized Official · (401) 453-2001
Enumeration DateJanuary 23, 2020
Last NPPES UpdateNovember 3, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1871123372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
1 RANDALL SQ STE 408, Providence, RI 02904
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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)

Lepoer Podiatry, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lepoer Podiatry, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Krysia Lepoer, DPM
Podiatry
NPI 1679665111
1 RANDALL SQ STE 408
Providence, RI 02904
(401) 453-2000
✔ PECOS✔ Accepts MedicareSame address
Traci Bologna-Jill, DPM
Podiatry
NPI 1346746062
1 RANDALL SQ STE 408
Providence, RI 02904
(401) 453-2000
✔ PECOS✔ Accepts Medicare10 mi

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 Lepoer Podiatry, Inc.'s NPI number?

The NPI number for Lepoer Podiatry, Inc. is 1871123372. It was assigned to this organization in the NPPES registry on January 23, 2020.

Where is Lepoer Podiatry, Inc. located?

Lepoer Podiatry, Inc. is located at 1 Randall Sq Ste 408, Providence, RI 02904. The listed phone number is (401) 453-2000.

What is Lepoer Podiatry, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Lepoer Podiatry, Inc. enrolled in Medicare?

Yes. Lepoer Podiatry, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lepoer Podiatry, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Lepoer Podiatry, Inc.. 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 Lepoer Podiatry, Inc. was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.