Pasadena Foot and Ankle Center, LLC
NPI 1124385505ActiveOrganization· Podiatrist· Pasadena, MD
Podiatrist in Pasadena, Maryland, registered in NPPES in April 2012. The authorized official on file is Joseph G. Proebstle, D.P.M., President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1124385505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2012 |
| Last updated in NPPES | Mar 30, 2021 |
| Certified by provider | Mar 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 01059 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (MD); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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