Organization Active NPI

Del Rio Foot Clinic P.a.

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1003901489
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DEL RIO FOOT CLINIC P.A.
Practice address
94 Briggs St Ste 600
San Antonio, TX 78224-1272
Phone
(210) 872-3668
Fax
(210) 428-6317
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Anna E Sanchez, DPMNPI 1881780468
Title
Vice-President
Phone
(210) 872-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

94 Briggs St Ste 600
San Antonio, TX 78224-1272

Mailing address

94 Briggs St Ste 600
San Antonio, TX 78224-1272
Phone (210) 872-3668

Other practice location 1

1901 Babcock Rd Ste 102
San Antonio, TX 78229-4544
Phone (210) 872-3668

Other identifiers 3

IdentifierTypeStateIssuer
0043CGOtherBLUE CROSS BLUE SHIELD
CK5717OtherMEDICARE RAILROAD
079633601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100810000643 TX Part B Supplier - Clinic/Group Practice 5991839128 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX
O20100930018043 TX DME Supplier - Physician - Podiatry 5991839128 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2095328Del Rio Foot Clinic1901 Babcock, Suite 102, San Antonio, TX 78229Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

605 E 17th St
Del Rio, TX 78840
Phone (830) 774-4617

2833 Babcock Rd
Ste 110
San Antonio, TX 78229
Phone (210) 692-2000

7400 Louis Pasteur Dr
Ste 112
San Antonio, TX 78229
Phone (210) 615-0004

Practitioners & affiliated clinicians

Practitioners 5

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1003901489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241272",
            "telephone_number": "210-872-3668",
            "fax_number": "210-428-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241272",
            "telephone_number": "210-872-3668",
            "fax_number": "210-428-6317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Babcock Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294544",
            "country_code": "US",
            "telephone_number": "210-872-3668",
            "fax_number": "210-362-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEL RIO FOOT CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "210-872-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0043CG",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK5717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079633601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.