Individual provider Active NPI

Trisha Melaine King, DPM

  • Foot Surgery Podiatrist
  • Lubbock, TX
National Provider Identifier
1033282124
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1781 Issued in TX
Practice address
3702 22ND PL
Lubbock, TX 79410-1320
Phone
(806) 747-4467
Fax
(806) 788-1708
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1781 TX Primary

Addresses

Primary practice location

3702 22ND PL
Lubbock, TX 79410-1320

Mailing address

3702 22ND PL
Lubbock, TX 79410-1320
Phone (806) 747-4467

Other identifiers 5

IdentifierTypeStateIssuer
192330210MedicaidTX
1923302MedicaidTX
192330208MedicaidTX
192330209MedicaidTX
P01571957OtherTXRAILROAD MEDICARE

Other names 1

  • Trisha Melanie Trainor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080125000482 TX Practitioner - Podiatry 8628150968 Reassigns benefits to 1 organization
I20210414001972 MI Practitioner - Podiatry 8628150968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

3109 Kings CT
Richland Hills, TX 76118-6366
Phone (817) 589-2431

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue7821
Removal or shaving of skin growth2602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1781TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Health and Wellness CurrentSince May 1, 2021 Accepting new patients
Preferred Podiatry Group PC CurrentSince Nov 16, 2015 Accepting new patients
West Texas Foot Specialist PA Foot Surgery Past Accepting new patients
Karen Elizabeth Chagnon Dba Senior Care Associates of Texas PastSince May 7, 2014 Accepting new patients

Locations

425 Huehl Rd
Unit 13
Northbrook, IL 60062
Phone (800) 654-3772

1397 N Monroe St
Monroe, MI 48162
Phone (734) 243-3420

419 S Cockrell Hill Rd
Duncanville, TX 75116
Phone (410) 552-4800

2409 Holcombe Blvd
Houston, TX 77021
Phone (713) 741-8701

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

3109 Kings Ct
Richland Hills, TX 76118
Phone (254) 631-5342

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1033282124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-747-4467",
            "fax_number": "806-788-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-747-4467",
            "fax_number": "806-788-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TRISHA",
        "middle_name": "MELAINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192330210",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192330208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192330209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01571957",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "TRAINOR",
            "middle_name": "MELANIE",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.