Four Corners Foot and Ankle P.C.
NPI 1629416342ActiveOrganization· Podiatrist· Durango, CO
Podiatrist in Durango, Colorado, registered in NPPES in June 2013. The authorized official on file is Kayse L. Lake, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629416342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2013 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | POD710 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (NM) |
|---|
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