Individual podiatrists, Foot and ankle surgery (registered)
NPI
1851355804
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Podiatrist, Foot & Ankle Surgery (213ES0103X)
Credentials listed
DPM
License number on NPI record
275 (NM)
NPI first issued
Apr 14, 2006
Years since NPI first issued
20 years (since 2006)
License state on NPI record
NM
NPI record last updated
Jan 10, 2013
Medicare enrollment (CMS)
Enrolled: listed in CMS Doctors & Clinicians
Medicare assignment (CMS)
Accepts the Medicare-approved amount as payment in full
Professional school graduation (CMS)
1999 (27 years ago)
Medicare group practice (CMS)
Tuba City Regional Health Care Corporation (163 clinicians)
Practice locations on file with Medicare (CMS)
3
NPI 1851355804 is active in the federal NPPES registry (CMS) with Podiatrist, Foot & Ankle Surgery as its self-reported primary taxonomy; license 275 (NM) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.
Registered specialty is not board certification. Verify the license with the state podiatry board, and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine. Medicare generally does not cover routine foot care; ask how your visit will be billed.