Timothy Fishman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

692183 Issued in TX

Practice address

625 Parkview Dr Ste 102
Trophy Club, TX 76262-4204

Phone

(917) 667-4514

Fax

(469) 620-7558

NPI assigned

May 21, 2010

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthdrive Podiatry Group, PA

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Fort Worth, TX
  • NPI 1518112499
  Medicare reassignment Care Compare group NPD
• Spur Podiatry

  • Podiatrist
  • Trophy Club, TX
  • NPI 1578363164
  Medicare reassignment NPD Authorized official
• Healthdrive Podiatry Group, PA

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Houston, TX
  • NPI 1104861475
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Grapevine

  dba Baylor Scott & White Medical Center - Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1083933618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 102",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624204",
            "telephone_number": "817-527-6537",
            "fax_number": "469-620-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 102",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624204",
            "telephone_number": "917-667-4514",
            "fax_number": "469-620-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006554",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "692183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Susan Drefs, MSPT
• Aaron Leland Dudley, MPT
• Ngozi Chizoba Elendu, DPT
• Joana Estrada
• Vecheslav Fedorchenco, M.D.
• Brooke Eden Fitch, DO
• Kenneth Carl Followwill, D.P.M.
• Ford Wellness and Rehab
• Kathie Battey Ford, LVN
• Freeform Chiropractic Trophy Club LLC

• Podiatrist in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.