AMBULATORY FOOT AND ANKLE CLINIC
NPI 1912194085
Podiatrist - Foot & Ankle Surgery in Pocatello, ID
About Ambulatory Foot And Ankle Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBULATORY FOOT AND ANKLE CLINIC (NPI 1912194085) is a healthcare organization registered as a foot & ankle surgery in Pocatello, Idaho and active in the NPI registry since October 2007. The organization lists Koree Godfrey, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ambulatory Foot And Ankle Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ambulatory Foot And Ankle Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories Ambulatory Foot And Ankle Clinic carries, from the Medicare DMEPOS supplier directory.
Ambulatory Foot And Ankle Clinic
DMEPOS supplier · Pocatello, IDOperated by Pocatello Podiatry Associates PAAccepts Medicare assignment
Ambulatory Foot And Ankle Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Pocatello Podiatry Associates PA's NPI number?
The NPI number for Pocatello Podiatry Associates PA is 1912194085. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is also known as Ambulatory Foot And Ankle Clinic.
Where is Pocatello Podiatry Associates PA located?
Pocatello Podiatry Associates PA is located at 1555 E Clark St, Pocatello, ID 83201. The listed phone number is (208) 233-4355.
What is Pocatello Podiatry Associates PA's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Pocatello Podiatry Associates PA enrolled in Medicare?
Yes. Pocatello Podiatry Associates PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pocatello Podiatry Associates PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Pocatello Podiatry Associates PA. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pocatello Podiatry Associates PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Ambulatory Foot And Ankle Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Pocatello Podiatry Associates PA accept?
Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc. and Molina Healthcare list Pocatello Podiatry Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pocatello Podiatry Associates PA was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ambulatory Foot And Ankle Clinic · NPI 1912194085
Foot & Ankle Surgery organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since October 2, 2007.
## Identity
- **NPI:** 1912194085 (Entity type: Organization)
- **Enumerated:** October 2, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Legal business name:** Pocatello Podiatry Associates Pa
- **Organization subpart:** No
- **Authorized official:** Koree Godfrey, CREDENTIALING
## Practice location
- **Address:** 1555 E CLARK ST, Pocatello, ID 83201-4133
- **Phone:** (208) 233-4355 · **Fax:** (208) 233-7198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2021
- **Other identifiers:** Medicaid 004400900 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1912194085) · Data from the CMS NPPES public registry.