Podiatry at Home, LLC
NPI 1174192801ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Bettendorf, IA
Podiatrist, Foot & Ankle Surgery in Bettendorf, Iowa, registered in NPPES in June 2021, part of Podiatry at Home, LLC. The authorized official on file is Andrea Eve Gillio, DPM, Doctor, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1174192801 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Podiatry at Home, LLC |
| NPI issued | Jun 17, 2021 |
| Last updated in NPPES | Jun 17, 2021 |
| Certified by provider | Jun 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
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 Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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