AMBULATORY FOOT AND ANKLE CLINIC
NPI 1912194085
Podiatrist - Foot & Ankle Surgery in Pocatello, ID
NPI Status: Active since October 02, 2007
Contact Information
1555 E CLARK ST
POCATELLO, ID
ZIP 83201
Phone: (208) 233-4355
Fax: (208) 233-7198
- Organization
- Podiatrist
- Foot & Ankle Surgery
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About AMBULATORY FOOT AND ANKLE CLINIC
This page provides the complete NPI Profile along with additional information for Ambulatory Foot And Ankle Clinic, a provider established in Pocatello, Idaho operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1912194085 assigned on October 2007. The practitioner's primary taxonomy code is 213ES0103X with license number P-82 (ID). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Ambulatory Foot And Ankle Clinic. The authorized official of this NPI record is Koree Godfrey (Credentialing)
- NPI
- 1912194085
- Provider Legal Name
- POCATELLO PODIATRY ASSOCIATES PA
- Other Organization Name
- AMBULATORY FOOT AND ANKLE CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1555 E CLARK ST POCATELLO, ID 83201
- Location Phone
- (208) 233-4355
- Location Fax
- (208) 233-7198
- Mailing Address
- 1555 E CLARK ST POCATELLO, ID 83201
- Mailing Phone
- (208) 233-4355
- Mailing Fax
- (208) 233-7198
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2007
- Last Update Date
- 03-18-2021
- Code Navigator
Ambulatory Foot And Ankle Clinic is a medicare supplier with PTAN 20669681 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- P-82
- License State
- ID
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004400900 | MEDICAID (05) | ID |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20669681
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Provider Type List
- PHYSICIAN – PODIATRY.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1912194085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912194085, enumerated as an "organization" on October 02, 2007.
The provider is located at 1555 E CLARK ST POCATELLO, ID 83201 and the phone number is (208) 233-4355.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Moda Health. Please consult your insurance carrier or call the provider to verify.
