Kinetic Foot and Ankle Clinic LLC
NPI 1245123389ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Denver, CO
Podiatrist, Foot & Ankle Surgery in Denver, Colorado, registered in NPPES in May 2025, part of Kinetic Foot and Ankle Clinic LLC. The authorized official on file is Marc R. House, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1245123389 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kinetic Foot and Ankle Clinic LLC |
| NPI issued | May 29, 2025 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
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 DME Supplier - Physician - Podiatry (CO) |
|---|
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