Foot and Ankle Specialist
NPI 1053616086 · Foot & Ankle Surgery Podiatrist · Irvine, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Foot and Ankle Specialist is a Foot & Ankle Surgery Podiatrist organization in Irvine, CA (NPI 1053616086).
Provider details
- NPI number
- 1053616086
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Gennady Kolodenker, Owner(949) 651-1202
- License
- E4880 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-23
- Last updated
- 2022-06-24
- Certified
- 2022-06-24
Frequently asked questions
- What is Foot and Ankle Specialist's NPI number?
- Foot and Ankle Specialist's National Provider Identifier (NPI) is 1053616086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foot and Ankle Specialist?
- Foot and Ankle Specialist is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Foot and Ankle Specialist located?
- Foot and Ankle Specialist's practice location on file with NPPES is 16405 Sand Canyon Ave Ste 270, Irvine, CA 92618-3792.
- What is Foot and Ankle Specialist's phone number?
- The practice phone number listed in the NPPES registry for Foot and Ankle Specialist is (949) 651-1202.
- Does Foot and Ankle Specialist accept Medicare?
- Foot and Ankle Specialist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Foot and Ankle Specialist?
- The authorized official listed on Foot and Ankle Specialist's NPPES record is Gennady Kolodenker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foot and Ankle Specialist's NPI active?
- Yes — Foot and Ankle Specialist's NPI (1053616086) is active in the NPPES registry as of the last update on 2022-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.