Individual provider Active NPI

Christopher David Correa, DPM

  • Podiatrist
  • Cypress, TX
National Provider Identifier
1013263946
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2145 Issued in TX
Practice address
25222 Northwest Fwy Apt 185
Cypress, TX 77429-1038
Phone
(832) 743-0508
Fax
(832) 743-0588
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2145 TX Primary

Addresses

Primary practice location

25222 Northwest Fwy Apt 185
Cypress, TX 77429-1038

Mailing address

14502 Cypress Mill Place Blvd Ste 200
Cypress, TX 77429-7300
Phone (832) 743-0508

Other practice location 1

14502 Cypress Mill Place Blvd Ste 200
Cypress, TX 77429-7300
Phone (832) 743-0508

Other identifiers 6

IdentifierTypeStateIssuer
8MT028OtherTXBLUE CROSS AND BLUE SHIELD
346947003MedicaidTX
7854240001OtherTXDME LICENSE NUMBER
P02482063OtherTXRAIL ROAD MEDICARE
2456064OtherTXWELLCARE ID
1C9075OtherTXMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515000515 TX Practitioner - Podiatry 2769702737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14502 Cypress Mill Place Blvd
Suite 200
Cypress, TX 77429-7300
Phone (832) 743-0508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue207
Removal or shaving of skin growth37
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2145TXMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Foot and Ankle Specialists, P.L.L.C. Podiatrist CurrentSince Mar 5, 2020 Accepting new patients

Locations

14502 Cypress Mill Place Blvd
Ste 200
Cypress, TX 77429
Phone (832) 743-0508

14502 Cypress Mill Place Blvd
#B
Cypress, TX 77429
Phone (832) 743-0508

28610 Highway 290
Ste F09
Cypress, TX 77433
Phone (281) 796-6497

Networks

  • TX HMO
  • NM HMO C-SNP
  • TX HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: cdcorrea@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1013263946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 CYPRESS MILL PLACE BLVD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297300",
            "telephone_number": "832-743-0508",
            "fax_number": "832-743-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25222 NORTHWEST FWY APT 185",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291038",
            "telephone_number": "832-743-0508",
            "fax_number": "832-743-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14502 Cypress Mill Place Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774297300",
            "country_code": "US",
            "telephone_number": "832-743-0508",
            "fax_number": "832-743-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "8MT028",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346947003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE NUMBER",
            "identifier": "7854240001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P02482063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE ID",
            "identifier": "2456064",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "1C9075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.