Individual provider Active NPI

Elise Suzan Janowak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Taos, NM
National Provider Identifier
1083029870
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD400 Issued in NM
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(575) 758-8883
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD400 NM Primary

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

1399 Weimer Rd Ste 600
Taos, NM 87571-6351
Phone (575) 758-8883

Other practice location 1

1399 Weimer Rd Ste 600
Taos, NM 87571-6351
Phone (575) 758-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702000141 NM Practitioner - Podiatry 5193090611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Professional Services,LLCGroup PAC ID 6507019924, 30 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911

1399 Weimer Rd
Suite 600
Taos, NM 87571-6340
Phone (575) 751-8902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of skin lesions1-10
Removal of nail tissue24
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD400NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Professional Services,LLC Current Accepting new patients
Taos Professional Services, LLC CurrentSince May 19, 2025 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince May 19, 2025 Accepting new patients
Taos Health Systems Inc Holy Cross Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1399 Weimer Rd
Ste 600
Taos, NM 87571
Phone (505) 751-0334

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1083029870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD STE 600",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716351",
            "telephone_number": "575-758-8883",
            "fax_number": "575-751-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-758-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 Weimer Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716351",
            "country_code": "US",
            "telephone_number": "575-758-3141",
            "fax_number": "575-751-0297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANOWAK",
        "first_name": "ELISE",
        "middle_name": "SUZAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.