Organization Active NPI

Capital City Foot & Ankle Center LLC

  • Podiatric Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1295085504
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
SC006155 Issued in PA
Legal business name
CAPITAL CITY FOOT & ANKLE CENTER LLC
Practice address
219 E Main St Ste 121
Mechanicsburg, PA 17055-6541
Phone
(171) 769-7277
Fax
(717) 697-2884
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Ijaz Alam Zia, DPMNPI 1346550118
Title
Owner
Phone
(171) 769-7272

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
Podiatric Clinic/Center 261QP1100X SC006155 PA Primary

Addresses

Primary practice location

219 E Main St Ste 121
Mechanicsburg, PA 17055-6541

Mailing address

219 E Main St Ste 121
Mechanicsburg, PA 17055-6541
Phone (171) 769-7272

Other identifiers 1

IdentifierTypeStateIssuer
260483OtherPAMEDICARE PTAN

Other names 1

  • capital city foot and ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121227000265 PA Part B Supplier - Clinic/Group Practice 4981857943 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

1300 Bent Creek Blvd
Ste 101
Mechanicsburg, PA 17050
Phone (570) 295-1486

219 E Main St
Ste 121
Mechanicsburg, PA 17055
Phone (717) 697-2727

Practitioners & affiliated clinicians

Practitioners 2

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1295085504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST STE 121",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "171-769-7272",
            "fax_number": "717-697-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST STE 121",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "171-769-7277",
            "fax_number": "717-697-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "ZIA",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_middle_name": "ALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "171-769-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC006155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "260483",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "capital city foot and ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.