Organization Active NPI

Green Foot and Ankle LTD

  • Podiatrist
  • Coatesville, PA
National Provider Identifier
1528952736
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GREEN FOOT AND ANKLE LTD
Practice address
495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Phone
(610) 343-3668
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Benjamin Green, MDNPI 1154852085
Title
Owner
Phone
(115) 485-2085

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

495 Highland Blvd Ste 103
Coatesville, PA 19320-5822

Mailing address

495 Highland Blvd Ste 103
Coatesville, PA 19320-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250618000037 PA Part B Supplier - Clinic/Group Practice 4789195504 Receives reassigned benefits from 1 practitioner
Practice locations: Coatesville, PA
O20251228000063 PA DME Supplier - Physician - Podiatry 4789195504 Practice locations: Coatesville, PA

National Provider Directory

National Provider Directory

Locations

495 Highland Blvd
Ste 103
Coatesville, PA 19320
Phone (610) 343-3668

Practitioners & affiliated clinicians

Practitioners 1

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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1528952736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 103",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 103",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-343-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FOOT AND ANKLE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "115-485-2085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.