Individual provider Active NPI

Zubeen Mistry, DPM

  • Foot Surgery Podiatrist
  • Plano, TX
National Provider Identifier
1023467586
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2379 Issued in TX
Practice address
4508 Legacy Dr Ste 200
Plano, TX 75024-2189
Phone
(469) 551-8595
Fax
(469) 242-9656
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X T30-2016 TX
Foot Surgery Podiatrist 213ES0131X 2379 TX Primary

Addresses

Primary practice location

4508 Legacy Dr Ste 200
Plano, TX 75024-2189

Mailing address

9720 Coit Rd Ste 220-224
Plano, TX 75025-5833
Phone (469) 551-8595

Other practice location 1

5012 S US Highway 75 Ste 120
Denison, TX 75020-4587
Phone (694) 551-8595

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
I20190820000110 TX Practitioner - Podiatry 4385972090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Foot and Ankle Care LLCGroup PAC ID 3476984899, 2 clinicians

Practice addresses (Care Compare)

2910 Broadway Blvd
Suite 212
Garland, TX 75041-3794
Phone (469) 551-8595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue359
Removal of skin lesions70
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T30-2016TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Foot and Ankle Care LLC Foot & Ankle Surgery CurrentSince May 1, 2020 Accepting new patients
DFW Foot and Ankle Care LLC Foot & Ankle Surgery CurrentSince May 1, 2020 Accepting new patients
Texas Foot and Ankle Consultants LLC Foot & Ankle Surgery PastSince Jul 3, 2022 Accepting new patients
Texas Foot and Ankle Consultants LLC Foot & Ankle Surgery PastSince Jun 1, 2020 Accepting new patients

Locations

5012 S US Highway 75
Ste 270
Denison, TX 75020
Phone (469) 551-8595

5012 US Highway 75
Ste 120
Denison, TX 75020
Phone (903) 416-5300

2910 Broadway Blvd
Ste 212
Garland, TX 75041
Phone (469) 551-8595

4116 W Spring Creek Pkwy
Ste 400C
Plano, TX 75024
Phone (469) 983-5000

4508 Legacy Dr
Ste 200
Plano, TX 75024
Phone (214) 377-4833

9720 Coit Rd
Ste 220224
Plano, TX 75025

399 W Campbell Rd
Ste 130
Richardson, TX 75080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGDCD/Endpoint/JAGDCD

Organizations & group practices 4

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 5

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1023467586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 COIT RD STE 220-224",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255833",
            "telephone_number": "469-551-8595",
            "fax_number": "469-242-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 LEGACY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242189",
            "telephone_number": "469-551-8595",
            "fax_number": "469-242-9656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 S US Highway 75 Ste 120",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204587",
            "country_code": "US",
            "telephone_number": "694-551-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "ZUBEEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T30-2016",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.