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AMBULATORY FOOT AND ANKLE CLINIC
NPI 1912194085
Podiatrist - Foot & Ankle Surgery in Pocatello, ID

Active since October 02, 2007
1555 E CLARK ST, POCATELLO, ID 83201(208) 233-4355(208) 233-7198 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1912194085
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePOCATELLO PODIATRY ASSOCIATES PA
Location Address1555 E CLARK STPocatello, ID 83201-4133
Mailing Address1555 E Clark StPocatello, ID 83201-4133 · (208) 233-4355 · Fax (208) 233-7198
Phone(208) 233-4355
Fax(208) 233-7198
Organization SubpartNo
Authorized OfficialKoree GodfreyCredentialing · (208) 233-4355
Enumeration DateOctober 2, 2007
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1912194085 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 ID · P-82
1555 E CLARK ST, Pocatello, ID 83201
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Other Names 1

Other NameAmbulatory Foot And Ankle Clinic

Other Identifiers 1

Medicaid004400900ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc..Insurance ›

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 PA
✔

Accepts 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.

PTAN (Medicare Supplier Number)20669681
Medicare Participant SinceJanuary 1, 1995
Supplier Location1555 E Clark StPocatello, ID 83201
Phone(208) 233-4355
Provider TypePhysician – Podiatry
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADAM MATTHEWS DPM
Podiatrist (Foot & Ankle Surgery)
1555 E CLARK ST
POCATELLO, ID 83201
Bannock County (224) 688-0624
KERT W HOWARD D.P.M.
Podiatrist (Foot & Ankle Surgery)
1555 E CLARK ST
POCATELLO, ID 83201
Bannock County (208) 233-4355
DON J GILBERT DPM
Podiatrist (Primary Podiatric Medicine)
1555 E CLARK ST
POCATELLO, ID 83201
Bannock County (208) 233-4355
KARSON KERT HOWARD DPM
Podiatrist (Foot & Ankle Surgery)
1555 E CLARK ST
POCATELLO, ID 83201
Bannock County (208) 233-4355

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.

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 and Moda Health Plan, Inc. 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.