Organization Active NPI

Surestep Foot & Ankle Medical Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cincinnati, OH
National Provider Identifier
1811201908
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SURESTEP FOOT & ANKLE MEDICAL CENTER, LLC
Practice address
11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone
(513) 489-2400
Fax
(513) 489-2455
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Julia Zeetser
Title
Authorized Official
Phone
(818) 259-3859

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36003288 OH
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705

Mailing address

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone (513) 489-2400

Other practice location 1

8111 Cheviot Rd Ste 100
Cincinnati, OH 45247-4013
Phone (513) 489-2400

Other identifiers 1

IdentifierTypeStateIssuer
3102056MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100908000557 OH Part B Supplier - Clinic/Group Practice 3476677865 Receives reassigned benefits from 7 practitioners
Practice locations: Blue Ash, OH; Mount Healthy, OH; Liberty Township, OH; Cincinnati, OH
O20110207000652 OH DME Supplier - Physician - Podiatry 3476677865 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Tax ID family
Surestep Foot Ankle Medica6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11821 Mason Montgomery Rd
Ste 4B
Cincinnati, OH 45249
Phone (513) 489-2400

11821 Mason Montgomery Rd
Ste 1
Cincinnati, OH 45249
Phone (513) 489-2400

11821 Mason Montgomery Rd
#4B
Cincinnati, OH 45249
Phone (513) 489-2400

Practitioners & affiliated clinicians

Practitioners 8

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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1811201908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Cheviot Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452474013",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURESTEP FOOT & ANKLE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "ZEETSER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "818-259-3859"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003288",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.