KINETIC FOOT AND ANKLE CLINIC, LLC
NPI 1962999581
Podiatrist - Foot & Ankle Surgery in Greenwood Village, CO
About Kinetic Foot And Ankle Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINETIC FOOT AND ANKLE CLINIC, LLC (NPI 1962999581) is a healthcare organization registered as a foot & ankle surgery in Greenwood Village, Colorado and active in the NPI registry since April 2018. The organization lists Marc House, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Kinetic Foot And Ankle Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kinetic Foot And Ankle Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Greenwood Village, CO 80111
Greenwood Village, CO 80111
Greenwood Village, CO 80111
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 Kinetic Foot And Ankle Clinic, LLC's NPI number?
The NPI number for Kinetic Foot And Ankle Clinic, LLC is 1962999581. It was assigned to this organization in the NPPES registry on April 19, 2018.
Where is Kinetic Foot And Ankle Clinic, LLC located?
Kinetic Foot And Ankle Clinic, LLC is located at 5420 S Quebec St Ste 106, Greenwood Village, CO 80111. The listed phone number is (720) 295-4864.
What is Kinetic Foot And Ankle Clinic, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Kinetic Foot And Ankle Clinic, LLC enrolled in Medicare?
Yes. Kinetic Foot And Ankle Clinic, LLC is registered in the Medicare PECOS enrollment system.
When is Kinetic Foot And Ankle Clinic, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Colorado, Physician - Podiatry) is due for revalidation by November 30, 2026. 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 Kinetic Foot And Ankle Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Kinetic Foot And Ankle Clinic, LLC. 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.
When was this NPI record last updated?
The NPPES record for Kinetic Foot And Ankle Clinic, LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Kinetic Foot And Ankle Clinic, Llc · NPI 1962999581
Foot & Ankle Surgery organization in Greenwood Village, Colorado. Organization record, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1962999581 (Entity type: Organization)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Marc House, OWNER
## Practice location
- **Address:** 5420 S QUEBEC ST STE 106, Greenwood Village, CO 80111-1902
- **Phone:** (720) 295-4864 · **Fax:** (855) 805-9391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Colorado, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **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:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962999581) · Data from the CMS NPPES public registry.