Individual provider Active NPI

Karry Ann Shebetka, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1043243256
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1351 Issued in TX
Practice address
9153 Huebner Rd
San Antonio, TX 78240-1502
Phone
(210) 237-4444
Fax
(210) 616-0509
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1351 TX Primary

Addresses

Primary practice location

9153 Huebner Rd
San Antonio, TX 78240-1502

Mailing address

610 North Main, Second Floor
San Antonio, TX 78205-1204
Phone (210) 237-4444

Other identifiers 2

IdentifierTypeStateIssuer
113416506MedicaidTX
8CE403OtherTXBCBSTX

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
I20070503000550 TX Practitioner - Podiatry 4880790039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-6108

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (214) 297-5000

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

9153 Huebner Rd
San Antonio, TX 78240-1502
Phone (210) 614-7414

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of nail tissue63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1351TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Past Accepting new patients

Locations

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: karry.shebetka.1@1438.direct.athenahealth.com
  • Direct secure messaging: karryshebetka@pvapa.allscriptsdirect.net

Organizations & group practices 3

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 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1043243256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH MAIN, SECOND FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051204",
            "telephone_number": "210-237-4444",
            "fax_number": "210-828-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "210-237-4444",
            "fax_number": "210-616-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEBETKA",
        "first_name": "KARRY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113416506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CE403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.