NPIMap

Organization Active NPI

The Podiatry Group of South Texas, PA

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1063522993
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THE PODIATRY GROUP OF SOUTH TEXAS, PA
Practice address
5825 Callaghan Rd Ste 102
San Antonio, TX 78228-1106
Phone
(210) 227-8700
Fax
(210) 348-9130
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Karen D Sinclair
Title
Operations Officer
Phone
(210) 227-8700

Specialties & licenses 1

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

Addresses

Primary practice location

5825 Callaghan Rd Ste 102
San Antonio, TX 78228-1106

Mailing address

5825 Callaghan Rd Ste 102
San Antonio, TX 78228-1106
Phone (210) 227-8700

Other identifiers 4

IdentifierTypeStateIssuer
157841101MedicaidTX
157841122MedicaidTX
49886670017OtherTXPTAN
00817UOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000339 TX Part B Supplier - Clinic/Group Practice 4183695521 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Boerne, TX; San Antonio, TX; Hondo, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

128 W Bandera Rd
Boerne, TX 78006

28580 Interstate 10 W
Unit 3
Fair Oaks Ranch, TX 78006
Phone (830) 981-5150

1010 Ranch Road 620 S
Lakeway, TX 78734

11901 Toepperwein Rd
Ste 1102
Live Oak, TX 78233
Phone (210) 650-0314

652 N Houston Ave
New Braunfels, TX 78130
Phone (830) 500-3034

102 Palo Alto Rd
Ste 133
San Antonio, TX 78211
Phone (210) 921-2011

1303 McCullough Ave
Ste 333
San Antonio, TX 78212
Phone (210) 271-7221

3503 S WW White Rd
San Antonio, TX 78222
Phone (210) 337-7772

525 Oak Centre Dr
Ste 40
San Antonio, TX 78258

215 E Quincy St
Ste 615
San Antonio, TX 78215
Phone (210) 212-4331

720 Pleasanton Rd
San Antonio, TX 78214

4025 E Southcross Blvd
Ste 72
San Antonio, TX 78222

2115 Pleasanton Rd
Ste 204
San Antonio, TX 78221
Phone (210) 924-4999

5825 Callaghan Rd
Ste 102
San Antonio, TX 78228
Phone (210) 227-8700

215 E Quincy St
Ste 301
San Antonio, TX 78215

1804 NE Loop 410
Ste 200
San Antonio, TX 78217
Phone (210) 829-1880

4025 E Southcross Blvd
Ste 11
San Antonio, TX 78222
Phone (210) 333-8441

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1063522993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281106",
            "telephone_number": "210-227-8700",
            "fax_number": "210-348-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281106",
            "telephone_number": "210-227-8700",
            "fax_number": "210-348-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PODIATRY GROUP OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "210-227-8700"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157841101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157841122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "49886670017",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00817U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.