Family Foot and Ankle Clinic LLC
NPI 1659439321ActiveOrganization· Podiatrist· Weston, WI
Podiatrist in Weston, Wisconsin, registered in NPPES in December 2006. The authorized official on file is Joel J. Tikalsky, DPM, Owner/President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1659439321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Jun 12, 2020 |
| Certified by provider | Jun 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 895-025 | WI |
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 DME Supplier - Physician - Podiatry (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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