NPIMap

Organization Active NPI

Metro Foot and Ankle Specialist, PC

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1679273544
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
METRO FOOT AND ANKLE SPECIALIST, PC
Practice address
10040 Regency Cir Ste 345
Omaha, NE 68114-3713
Phone
(402) 541-8336
Fax
(402) 512-8182
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Emlyn Kedju Forsung, DPMNPI 1801382882
Title
Owner
Phone
(402) 968-9187

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: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10040 Regency Cir Ste 345
Omaha, NE 68114-3713

Mailing address

10040 Regency Cir Ste 345
Omaha, NE 68114-3713
Phone (402) 541-8336

Other practice location 1

1526 Washington St Ste A
Blair, NE 68008-1600
Phone (402) 541-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230403001584 NE Part B Supplier - Clinic/Group Practice 7911372024 Receives reassigned benefits from 1 practitioner
Practice locations: Blair, NE; Omaha, NE
O20240815000840 NE DME Supplier - Physician - Podiatry 7911372024 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

3346 N 108th St
Omaha, NE 68164
Phone (402) 315-4344

10040 Regency Cir
Ste 345
Omaha, NE 68114
Phone (402) 541-8336

Practitioners & affiliated clinicians

Practitioners 3

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1679273544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 345",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143713",
            "telephone_number": "402-541-8336",
            "fax_number": "402-512-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 345",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143713",
            "telephone_number": "402-541-8336",
            "fax_number": "402-512-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Washington St Ste A",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "NE",
            "postal_code": "680081600",
            "country_code": "US",
            "telephone_number": "402-541-8336",
            "fax_number": "402-512-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO FOOT AND ANKLE SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "FORSUNG",
        "authorized_official_first_name": "EMLYN",
        "authorized_official_middle_name": "KEDJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-968-9187",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.