Pocatello Podiatry Associates PA
NPI 1912194085 · Foot & Ankle Surgery Podiatrist · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pocatello Podiatry Associates PA is a Foot & Ankle Surgery Podiatrist organization in Pocatello, ID (NPI 1912194085).
Provider details
- NPI number
- 1912194085
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Koree Godfrey, Credentialing(208) 233-4355
- License
- P-82 (ID)
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
18 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
Other names (DBA / former)
- Doing business as
- Ambulatory Foot and Ankle Clinic
- Other name
- Ambulatory Foot and Ankle Clinic
- Other name
- Ambulatory Foot and Ankle Clinic
Registry dates
- Enumerated
- 2007-10-02
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is Pocatello Podiatry Associates PA's NPI number?
- Pocatello Podiatry Associates PA's National Provider Identifier (NPI) is 1912194085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pocatello Podiatry Associates PA?
- Pocatello Podiatry Associates PA is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pocatello Podiatry Associates PA located?
- Pocatello Podiatry Associates PA's practice location on file with NPPES is 1555 E Clark St, Pocatello, ID 83201-4133.
- What is Pocatello Podiatry Associates PA's phone number?
- The practice phone number listed in the NPPES registry for Pocatello Podiatry Associates PA is (208) 233-4355.
- Does Pocatello Podiatry Associates PA accept Medicare?
- Pocatello Podiatry Associates PA 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 Pocatello Podiatry Associates PA?
- The authorized official listed on Pocatello Podiatry Associates PA's NPPES record is Koree Godfrey, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pocatello Podiatry Associates PA's NPI active?
- Yes — Pocatello Podiatry Associates PA's NPI (1912194085) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.