AVON LAKE PODIATRY INC
NPI 1992864490
Podiatrist - Foot & Ankle Surgery in Avon Lake, OH
About Avon Lake Podiatry Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVON LAKE PODIATRY INC (NPI 1992864490) is a healthcare organization registered as a foot & ankle surgery in Avon Lake, Ohio and active in the NPI registry since December 2006. The organization lists Mark David Gould, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avon Lake 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 Avon Lake Podiatry Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Avon Lake Podiatry Inc's NPI number?
The NPI number for Avon Lake Podiatry Inc is 1992864490. It was assigned to this organization in the NPPES registry on December 8, 2006.
Where is Avon Lake Podiatry Inc located?
Avon Lake Podiatry Inc is located at 32730 Walker Rd Suite I-3, Avon Lake, OH 44012. The listed phone number is (440) 933-4021.
What is Avon Lake Podiatry Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Avon Lake Podiatry Inc enrolled in Medicare?
Yes. Avon Lake Podiatry Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avon Lake Podiatry Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Avon Lake 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.
When was this NPI record last updated?
The NPPES record for Avon Lake Podiatry Inc was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Avon Lake Podiatry Inc · NPI 1992864490
Foot & Ankle Surgery organization in Avon Lake, Ohio. Organization record, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1992864490 (Entity type: Organization)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Mark Gould, PRESIDENT
## Practice location
- **Address:** 32730 WALKER RD, SUITE I-3, Avon Lake, OH 44012-4100
- **Phone:** (440) 933-4021 · **Fax:** (440) 933-7132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2008
- **Other identifiers:** Medicare NSC 0603440001 (OH); Medicare PIN AV9243221; Other 480004004 (OH); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992864490) · Data from the CMS NPPES public registry.