Elizabeth Pankow, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E6104 Issued in CA

Practice address

6145 N Thesta St
Fresno, CA 93710-5266

Phone

(559) 436-4820

NPI assigned

Apr 2, 2021

Last updated

Mar 3, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, PA, CA4 enrollments

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 4

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Back Office Management Services LLC

  • Podiatrist
  • Pittsburgh, PA
  • NPI 1649506684

  Multi-Specialty

  Medicare reassignment NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Somerset, NJ
  • NPI 1235433327

  Multi-Specialty

  Medicare reassignment NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1821227299

  Multi-Specialty

  Medicare reassignment NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1003329491

  Multi-Specialty

  NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721

  Multi-Specialty

  NPD
• Back Office Management Services LLC

  • Podiatrist
  • Berea, KY
  • NPI 1336652585

  Multi-Specialty

  NPD
• Back Office Management Services LLC

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
  • NPI 1821328543
  NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynnwood, WA
  • NPI 1104692219

  Multi-Specialty

  NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynchburg, VA
  • NPI 1598421422

  Multi-Specialty

  NPD
• Paul Eric Eckstein, D.P.M., P.C.

  • Foot Surgery Podiatrist
  • New York, NY
  • NPI 1750541207

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1467031088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SAINT MARKS PL APT 4C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011662",
            "telephone_number": "503-936-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-436-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126221",
            "country_code": "US",
            "telephone_number": "718-554-4098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKOW",
        "first_name": "ELIZABETH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007419",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Pangelinan, RN
• Alexis Pangilinan
• Lanigail Pangilinan
• Vidya Panguluri, M.D
• Alondra Paniague
• Priya Panneerselvam, D.O.
• Shaneice Nycole Pannell
• Ateetmani Pannu, DO
• Jessica Panoo
• Toni Marie Panoo

• Foot & Ankle Surgery Podiatrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.