NPIMap

Organization Active NPI

South Texas Foot Specialist, PA

  • Foot & Ankle Surgery Podiatrist
  • Friendswood, TX
National Provider Identifier
1003954249
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTH TEXAS FOOT SPECIALIST, PA
Practice address
119 E Edgewood Dr
Friendswood, TX 77546-3818
Phone
(281) 996-9546
Fax
(281) 996-7645
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Mohammad J Baba
Title
President
Phone
(832) 439-3182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 213ES0103X TX
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

119 E Edgewood Dr
Friendswood, TX 77546-3818

Mailing address

PO Box 57099
Webster, TX 77598-7099
Phone (281) 996-9546

Other names 1

  • South Texas Foot Specialist, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304001340 TX Part B Supplier - Clinic/Group Practice 7416845193 Receives reassigned benefits from 5 practitioners
Practice locations: Friendswood, TX; Houston, TX; Lake Jackson, TX; League City, TX; Pearland, TX; Webster, TX

National Provider Directory

National Provider Directory

Member of 1

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

Locations

345 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 724-5391

120 Flag Lake Dr
Ste A
Lake Jackson, TX 77566
Phone (281) 916-1012

3411 Broadway St
Pearland, TX 77581
Phone (281) 485-0505

Practitioners & affiliated clinicians

Practitioners 6

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1003954249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57099",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987099",
            "telephone_number": "281-996-9546",
            "fax_number": "281-996-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E EDGEWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463818",
            "telephone_number": "281-996-9546",
            "fax_number": "281-996-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS FOOT SPECIALIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-439-3182"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "213ES0103X",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Foot Specialist, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "South Texas Foot Specialist, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.