NPIMap

Organization Active NPI

Foot and Ankle Associates of North Texas, LLP

  • Foot & Ankle Surgery Podiatrist
  • Grapevine, TX
National Provider Identifier
1003844176
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP
Practice address
2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3906
Phone
(817) 416-6155
Fax
(817) 329-9434
NPI assigned
Jun 29, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Lori Cerami
Title
Chief Operating Officer
Phone
(817) 796-3245

Specialties & licenses 1

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

Addresses

Primary practice location

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3906

Mailing address

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3906
Phone (817) 416-6155

Other identifiers 1

IdentifierTypeStateIssuer
00576UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041016000056 TX Part B Supplier - Clinic/Group Practice 3375503022 Receives reassigned benefits from 7 practitioners
Practice locations: Grapevine, TX; Keller, TX
O20100930054939 TX DME Supplier - Physician - Podiatry 3375503022 Practice locations: Grapevine, TX
O20151001000751 TX DME Supplier - Physician - Podiatry 3375503022 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Keller, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

816 Keller Pkwy
#101
Keller, TX 76248
Phone (817) 416-6155

500 N Valley Pkwy
Ste 100
Lewisville, TX 75067
Phone (972) 219-3338

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1003844176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513906",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513906",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "CERAMI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-796-3245"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00576U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.