Individual provider Active NPI

Eleni Kidanu

  • Foot & Ankle Surgery Podiatrist
  • Richmond Heights, OH
National Provider Identifier
1740736503
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59.00628 Issued in OH
Practice address
27100
Richmond Heights, OH 44143
Phone
(216) 952-4505
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.00628 OH Primary

Addresses

Primary practice location

27100
Richmond Heights, OH 44143

Mailing address

6804 Claasen Ave
Cleveland, OH 44105-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.00628OHMDFoot & Ankle Surgery Podiatrist
872TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare USA, PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

3443 Dickerson Pike
Ste 740
Nashville, TN 37207
Phone (615) 866-9639

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1740736503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CLAASEN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441054928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "216-952-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANU",
        "first_name": "ELENI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.00628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.