Organization Active NPI

Excel Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1528035300
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EXCEL PODIATRY INC
Practice address
11065 Gatewood Dr # C102
Lakewood Ranch, FL 34211-4944
Phone
(941) 782-8639
Fax
(941) 751-0976
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Jemaar GrahamNPI 1255747705
Title
Owner
Phone
(941) 782-8639

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

11065 Gatewood Dr # C102
Lakewood Ranch, FL 34211-4944

Mailing address

11065 Gatewood Dr # C102
Bradenton, FL 34211-4944
Phone (941) 782-8639

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000767 FL Part B Supplier - Clinic/Group Practice 0749182368 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL
O20100930099849 FL DME Supplier - Physician - Podiatry 0749182368 Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory
Tax ID family
Limons Foot Ankle Care I2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11065 Gatewood Dr
Ste C102
Lakewood Ranch, FL 34211
Phone (941) 782-8639

11065 Gatewood Dr
#C102
Lakewood Ranch, FL 34211
Phone (941) 782-8639

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1528035300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR # C102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639",
            "fax_number": "941-751-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR # C102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639",
            "fax_number": "941-751-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JEMAAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-782-8639"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.