Organization Active NPI

Foot and Ankle Excellence, Inc

Doing business as Foot and Ankle Excellence

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1710335476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006479 Issued in PA
Legal business name
FOOT AND ANKLE EXCELLENCE, INC
Doing business as
Foot and Ankle Excellence
Practice address
1900 Grant Ave Ste B
Philadelphia, PA 19115-4370
Phone
(215) 698-6133
Fax
(215) 698-6144
NPI assigned
Jun 2, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bruni Leka, DPMNPI 1689014425
Title
Owner
Phone
(215) 698-6133

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC006479 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006479 PA Primary

Addresses

Primary practice location

1900 Grant Ave Ste B
Philadelphia, PA 19115-4370

Mailing address

1927 Goodnaw St
Philadelphia, PA 19115-4720
Phone (215) 698-6133

Other identifiers 1

IdentifierTypeStateIssuer
1032590600001MedicaidPA

Other names 1

  • Foot and Ankle Excellence Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160811000537 PA Part B Supplier - Clinic/Group Practice 0143514356 Receives reassigned benefits from 1 practitioner
Practice locations: Doylestown, PA; Philadelphia, PA
O20170620003275 PA DME Supplier - Physician - Podiatry 0143514356 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1300 Horizon Dr
Ste 102
Chalfont, PA 18914
Phone (215) 348-3400

11410 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 240-6007

1900 Grant Ave
Ste B
Philadelphia, PA 19115
Phone (215) 698-6133

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710335476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 GOODNAW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154720",
            "telephone_number": "215-698-6133",
            "fax_number": "215-698-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRANT AVE STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154370",
            "telephone_number": "215-698-6133",
            "fax_number": "215-698-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE EXCELLENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEKA",
        "authorized_official_first_name": "BRUNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-698-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006479",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032590600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.