Organization Active NPI

Podira LLC

  • Foot & Ankle Surgery Podiatrist
  • Hallandale Beach, FL
National Provider Identifier
1295551257
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIRA LLC
Practice address
2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 33009-4841
Phone
(630) 303-7184
NPI assigned
Nov 25, 2024
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Audrey Goshko
Title
Owner
Phone
(312) 292-6944

Specialties & licenses 1

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

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 33009-4841

Mailing address

2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 33009-4841
Phone (754) 971-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241219003396 FL Part B Supplier - Clinic/Group Practice 7416484076 Receives reassigned benefits from 2 practitioners
Practice locations: Hallandale Beach, FL
O20250506001682 FL DME Supplier - Physician - Podiatry 7416484076 Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1295551257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 811",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094841",
            "telephone_number": "754-971-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 811",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094841",
            "telephone_number": "630-303-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "GOSHKO",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-292-6944"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.