FOOT HEALTH CENTERS PC
NPI 1912930793
Podiatrist - Foot & Ankle Surgery in Maryville, IL

Active since July 08, 2006
122 E ZUPAN ST, MARYVILLE, IL 62062(618) 344-4449(618) 344-4551 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foot Health Centers Pc NPPES

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

FOOT HEALTH CENTERS PC (NPI 1912930793) is a healthcare organization registered as a foot & ankle surgery in Maryville, Illinois and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Fairview Heights and lists Gina M Reagan, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1912930793
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT HEALTH CENTERS PC
Location Address122 E ZUPAN STMaryville, IL 62062-2010
Mailing Address122 E Zupan StMaryville, IL 62062-2010 · (618) 344-4449 · Fax (618) 344-4551
Fax(618) 344-4551
Organization SubpartNo
Authorized OfficialGina M ReaganOffice Administrator · (618) 344-4449
Enumeration DateJuly 8, 2006
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1912930793 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 IL · 060-004872
122 E ZUPAN ST, Maryville, IL 62062

Secondary Practice Location 1

Location 15400 N Illinois St Ste 104Fairview Heights, IL 62208-3563 · Phone (618) 344-4449

Other Identifiers 2

Other060101285IL · Bc/bs Group#
OtherCB0674IL · Railroad Medicare Group#

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot Health Centers Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040513000798Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Foot Health Centers PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1134749088
122 E ZUPAN ST
Maryville, IL 62062
(618) 344-4449
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1417944653
122 E ZUPAN ST
Maryville, IL 62062
(618) 344-4449
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1942280789
122 E ZUPAN ST
Maryville, IL 62062
(618) 344-4449
✔ PECOSSame address
Podiatry
NPI 1144963174
12303 DE PAUL DR
Bridgeton, MO 63044
(314) 344-6000
✔ PECOS✔ Accepts Medicare26 mi
Podiatry
NPI 1124165428
300 WINDING WOODS DR SUITE214
O Fallon, MO 63366
(636) 281-1705
✔ PECOS✔ Accepts Medicare40 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 Foot Health Centers PC's NPI number?

The NPI number for Foot Health Centers PC is 1912930793. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Foot Health Centers PC located?

Foot Health Centers PC is located at 122 E Zupan St, Maryville, IL 62062. The listed phone number is (618) 344-4449.

What is Foot Health Centers PC's specialty?

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

Is Foot Health Centers PC enrolled in Medicare?

Yes. Foot Health Centers PC is registered in the Medicare PECOS enrollment system.

When is Foot Health Centers PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Foot Health Centers PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Foot Health Centers PC. 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.

What insurance does Foot Health Centers PC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Foot Health Centers PC 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 Foot Health Centers PC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.