Elite Foot & Ankle Center PC

Key facts

NPI: 1386984573
Entity type: Organization (NPI type 2)
Primary specialty: Foot & Ankle Surgery Podiatrist 213ES0103X
License: POD0000702 (CO)
Legal business name: ELITE FOOT & ANKLE CENTER PC
Practice address: 9898 Rosemont Ave
Suite 103
Lone Tree, CO 80124-4106
Phone: (239) 278-1155
Fax: (239) 278-1159
NPI assigned: Feb 25, 2013
Organization subpart: No

Authorized official

Name: Chad Simmons, DPM NPI 1316105653
Title: Owner
Phone: (239) 278-1155

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Chad Franklin Simmons, D.P.M. Foot & Ankle Surgery Podiatrist · Fort Myers, FL · NPI 1316105653

Medicare reassignment Care Compare group NPD Authorized official CO · FOOT & ANKLE SURGERY
Austin Brown, MPH, DPM Foot & Ankle Surgery Podiatrist · Highlands Ranch, CO · NPI 1154828861

Medicare reassignment Care Compare group NPD CO · FOOT & ANKLE SURGERY
Galina Omelioussik, NP Family Nurse Practitioner · Lonetree, CO · NPI 1609121102

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in CO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20130913000714	CO	Part B Supplier - Clinic/Group Practice	2769626639	Receives reassigned benefits from 2 practitioners Practice locations: Lone Tree, CO
O20131003000528	CO	DME Supplier - Physician - Podiatry	2769626639	Practice locations: Lone Tree, CO

National Provider Directory

Locations

9898 Rosemont Ave
Lone Tree, CO 80124
Phone (303) 798-4404

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Foot & Ankle Surgery Podiatrist Group: 193400000X SINGLE SPECIALTY GROUP	213ES0103X	POD0000702	CO	Yes

Addresses

Primary practice location

9898 Rosemont Ave
Suite 103
Lone Tree, CO 80124-4106

Mailing address

4950 S Yosemite St
F2-242
Greenwood Village, CO 80111-1349
Phone (239) 278-1155

Other providers in Lone Tree, CO

Ekim Ekinci, PHARMD, MS
Ayman S Elbatanony, DO, MBCHB, MBA
Rotem Laszlo Abraham Elgavish, MD, PHD
Cristin J Elia, O.D.
Alyssa Anne Eliopulos, DO
Abbigail Brooke Ellerbroek, AU.D., CCC-A
Ellington Eyecare PLLC
Elliott Anesthesia Inc
Byron Jason Ellis, MD
Ela Elmas, BCBA

All providers in Lone Tree, CO · Foot & Ankle Surgery Podiatrist in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.