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MADISON LEE PODIATRY INC
NPI 1912955162
Podiatrist in Shaker Heights, OH

Active since May 04, 2006
3691 LEE RD, SUITE 102, SHAKER HEIGHTS, OH 44120(216) 491-9902(216) 491-8151 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Lee Podiatry Inc NPPES

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

MADISON LEE PODIATRY INC (NPI 1912955162) is a healthcare organization registered as a podiatrist in Shaker Heights, Ohio and active in the NPI registry since May 2006. The organization lists Robert Thomas Portnow, President, as its authorized official.

NPPES Registry Identity

NPI1912955162
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMADISON LEE PODIATRY INC
Location Address3691 LEE RD, SUITE 102Shaker Heights, OH 44120-5145
Mailing Address3691 Lee Rd, Suite 102Shaker Heights, OH 44120-5145 · (216) 491-9902 · Fax (216) 491-8151
Phone(216) 491-9902
Fax(216) 491-8151
Organization SubpartNo
Authorized OfficialRobert Thomas PortnowPresident · (216) 491-9902
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 21, 2010
✔ NPI 1912955162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 2576
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3691 LEE RD, Shaker Heights, OH 44120
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Other Identifiers 6

Medicare PIN9282761OH
Medicare NSC6318540001OH
Medicare NSC6318540002OH
Medicare UPINT96121OH
Medicaid2245814OH
Medicare PIN9282764OH

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 CareSource, Molina Healthcare.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)

Madison Lee Podiatry Inc 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 Madison Lee Podiatry Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Portnow, DPM
Podiatry
NPI 1962465708
3691 LEE RD STE 102
Shaker Heights, OH 44120
(216) 491-9902
✔ 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 Madison Lee Podiatry Inc's NPI number?

The NPI number for Madison Lee Podiatry Inc is 1912955162. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Madison Lee Podiatry Inc located?

Madison Lee Podiatry Inc is located at 3691 Lee Rd Suite 102, Shaker Heights, OH 44120. The listed phone number is (216) 491-9902.

What is Madison Lee Podiatry Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Madison Lee Podiatry Inc enrolled in Medicare?

Yes. Madison Lee Podiatry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Lee Podiatry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Madison Lee Podiatry Inc. 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.

What insurance does Madison Lee Podiatry Inc accept?

Health plans from CareSource and Molina Healthcare list Madison Lee Podiatry Inc 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 Madison Lee Podiatry Inc was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.