STEP UP PODIATRY PROFESSIONAL CORPORATION
NPI 1902280928
Podiatrist - Foot & Ankle Surgery in Rohnert Park, CA

Active since July 20, 2015
1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928(707) 586-9300 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Step Up Podiatry Professional Corporation NPPES

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

STEP UP PODIATRY PROFESSIONAL CORPORATION (NPI 1902280928) is a healthcare organization registered as a foot & ankle surgery in Rohnert Park, California and active in the NPI registry since July 2015. The organization lists Thomas Michael Fitzgerald, Owner, as its authorized official.

NPPES Registry Identity

NPI1902280928
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSTEP UP PODIATRY PROFESSIONAL CORPORATION
Location Address1350 MEDICAL CENTER DR, STE BRohnert Park, CA 94928-2932
Mailing Address1350 Medical Center Dr, Ste BRohnert Park, CA 94928-2932 · (707) 586-9300
Organization SubpartNo
Authorized OfficialThomas Michael FitzgeraldOwner · (707) 586-9300
Enumeration DateJuly 20, 2015
✔ NPI 1902280928 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 CA · E34090
1350 MEDICAL CENTER DR, Rohnert Park, CA 94928

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)

Step Up Podiatry Professional Corporation 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 Step Up Podiatry Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1043506140
1350 MEDICAL CENTER DR STE B
Rohnert Park, CA 94928
(707) 586-9300
✔ 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 Step Up Podiatry Professional Corporation's NPI number?

The NPI number for Step Up Podiatry Professional Corporation is 1902280928. It was assigned to this organization in the NPPES registry on July 20, 2015.

Where is Step Up Podiatry Professional Corporation located?

Step Up Podiatry Professional Corporation is located at 1350 Medical Center Dr Ste B, Rohnert Park, CA 94928. The listed phone number is (707) 586-9300.

What is Step Up Podiatry Professional Corporation's specialty?

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

Is Step Up Podiatry Professional Corporation enrolled in Medicare?

Yes. Step Up Podiatry Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Step Up Podiatry Professional Corporation?

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

When was this NPI record last updated?

The NPPES record for Step Up Podiatry Professional Corporation was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.