NPIMap

Organization Active NPI

Elevate Foot & Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
National Provider Identifier
1003981820
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
826250 Issued in OH
Legal business name
ELEVATE FOOT & ANKLE INC
Practice address
3628 Walnut Hills Ave Ste 100
Beachwood, OH 44122-4484
Phone
(216) 381-3600
Fax
(216) 381-5981
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David A Kretch, DPMNPI 1386026474
Title
President
Phone
(216) 381-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 826250 OH Primary

Addresses

Primary practice location

3628 Walnut Hills Ave Ste 100
Beachwood, OH 44122-4484

Mailing address

2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone (440) 333-5888

Other identifiers 1

IdentifierTypeStateIssuer
2186085MedicaidOH

Other names 1

  • Neal A Marks OPM Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081028000081 OH Part B Supplier - Clinic/Group Practice 4385674530 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rocky River, OH; Beachwood, OH
O20100930065743 OH DME Supplier - Physician - Podiatry 4385674530 Practice locations: Beachwood, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2880 Plymouth Ave
Rocky River, OH 44116
Phone (440) 333-5888

4338 Mayfield Rd
South Euclid, OH 44121
Phone (216) 381-3600

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003981820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163209",
            "telephone_number": "440-333-5888",
            "fax_number": "440-333-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 WALNUT HILLS AVE STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224484",
            "telephone_number": "216-381-3600",
            "fax_number": "216-381-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "KRETCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-381-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "826250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2186085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neal A Marks OPM Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.