Organization Active NPI

Arvada Foot and Ankle PLLC

  • Podiatric Clinic/Center
  • Arvada, CO
National Provider Identifier
1205418241
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
ARVADA FOOT AND ANKLE PLLC
Practice address
5730 Ward Rd Ste 202
Arvada, CO 80002-1300
Phone
(720) 390-5299
NPI assigned
Apr 27, 2021
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Ankurpreet S GillNPI 1659862431
Title
Owner
Phone
(510) 325-9315

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

5730 Ward Rd Ste 202
Arvada, CO 80002-1300

Mailing address

5730 Ward Rd Ste 202
Arvada, CO 80002-1300
Phone (720) 390-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210527000247 CO Part B Supplier - Clinic/Group Practice 4486053238 Receives reassigned benefits from 2 practitioners
Practice locations: Arvada, CO
O20211026002773 CO DME Supplier - Physician - Podiatry 4486053238 Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

5730 Ward Rd
Ste 202
Arvada, CO 80002
Phone (720) 390-5299

12001 W 63rd Pl
Ste 2
Arvada, CO 80004
Phone (720) 390-5299

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1205418241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 WARD RD STE 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021300",
            "telephone_number": "720-390-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 WARD RD STE 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021300",
            "telephone_number": "720-390-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ANKURPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-325-9315"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.