Gold Coast Podiatry Center, LLC
NPI 1154591048ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Evanston, IL
Podiatrist, Foot & Ankle Surgery in Evanston, Illinois, registered in NPPES in March 2008. The authorized official on file is Fortunee Massuda, DPM, Medical Director/Ceo.
Overview
| NPI | 1154591048 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2008 |
| Last updated in NPPES | Nov 12, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | IL |
| Podiatrist, Foot Surgery | 213ES0131X | — | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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