NPIMap

Organization Active NPI

Balance Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, OH
National Provider Identifier
1407390974
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003502 Issued in OH
Legal business name
BALANCE FOOT AND ANKLE LLC
Practice address
14200 Madison Ave
Lakewood, OH 44107-4510
Phone
(216) 577-1003
NPI assigned
Dec 18, 2016
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Dr. Jennifer PreziosoNPI 1235390055
Title
Ceo
Phone
(216) 658-0111

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
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003502 OH Primary

Addresses

Primary practice location

14200 Madison Ave
Lakewood, OH 44107-4510

Mailing address

295 Huntington Circle, Lockbox Dept Opc8333 Attn: 72778
Akron, OH 44307-2305
Phone (216) 658-0111

Other practice location 1

5445 Detroit Rd Ste 102
Sheffield Village, OH 44054-3909
Phone (216) 658-0111

Other practice location 2

12585 Chillicothe Rd
Chesterland, OH 44026-2501
Phone (216) 658-0111

Other practice location 3

7580 Auburn Rd Ste 309
Concord Township, OH 44077-9618
Phone (216) 658-0111

Other practice location 4

4071 N Jefferson St
Medina, OH 44256-5622
Phone (216) 658-0111

Other identifiers 1

IdentifierTypeStateIssuer
3102850MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170421001433 OH Part B Supplier - Clinic/Group Practice 1153607445 Receives reassigned benefits from 16 practitioners
Practice locations: Chesterland, OH; Concord Township, OH; Lakewood, OH; Medina, OH
O20170915001453 OH DME Supplier - Physician - Podiatry 1153607445 Practice locations: Lakewood, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Balance Foot and Ankle LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12585 Chillicothe Rd
Chesterland, OH 44026
Phone (440) 729-3668

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1407390974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 HUNTINGTON CIRCLE, LOCKBOX DEPT OPC8333 ATTN: 72778",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072305",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074510",
            "telephone_number": "216-577-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Detroit Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sheffield Village",
            "state": "OH",
            "postal_code": "440543909",
            "country_code": "US",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12585 Chillicothe Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterland",
            "state": "OH",
            "postal_code": "440262501",
            "country_code": "US",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Auburn Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Concord Township",
            "state": "OH",
            "postal_code": "440779618",
            "country_code": "US",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4071 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565622",
            "country_code": "US",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "PREZIOSO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-658-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.