Lara Sue Poduska, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

36002924P Issued in OH

Practice address

24816 Aurora Rd
Suite a
Bedford Heights, OH 44146-1758

Phone

(216) 662-0027

NPI assigned

Jun 21, 2005

Last updated

Dec 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lara S Poduska DPM LLC

  • Primary Podiatric Medicine Podiatrist
  • Bedford Heights, OH
  • NPI 1023361318
  Medicare reassignment NPD

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1356346860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24816 AURORA RD",
            "address_2": "SUITE A",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24816 AURORA RD",
            "address_2": "SUITE A",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461758",
            "telephone_number": "216-662-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODUSKA",
        "first_name": "LARA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36002924P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Pearson, RN
• Tashonna L Perry
• Maelynn Nakia Phillips
• Planned Parenthood of Greater Ohio
• Planned Parenthood of Greater Ohio
• Marnisha Powell
• Principle Healthcare Solutions
• Aurelija Pritchard
• Omar Qureshi, DC
• Tiffany Rathwell, ATC

• Primary Podiatric Medicine Podiatrist in Bedford Heights, OH
• Providers in Bedford Heights, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.