Individual provider Active NPI

Gerald N. Zeringue, DPM

  • Podiatrist
  • Austin, TX
National Provider Identifier
1083764419
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0823 Issued in TX
Practice address
4207 James Casey St
Ste. 315
Austin, TX 78745-3300
Phone
(512) 447-2025
Fax
(512) 447-4968
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0823 TX Primary

Addresses

Primary practice location

4207 James Casey St
Ste. 315
Austin, TX 78745-3300

Mailing address

5656 Bee Caves Rd
Ste D204
West Lake Hills, TX 78746-5236
Phone (512) 447-2025

Other identifiers 2

IdentifierTypeStateIssuer
00DG46OtherTXBCBS
127196704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1083764419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "STE D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST",
            "address_2": "STE. 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453300",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERINGUE",
        "first_name": "GERALD",
        "middle_name": "N.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00DG46",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127196704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.