Organization Active NPI

Houston Foot Doctor, PC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1083948566
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0644 Issued in TX
Legal business name
HOUSTON FOOT DOCTOR, PC
Practice address
9405 Huffmeister Rd
Suite 100
Houston, TX 77095-2891
Phone
(281) 463-7208
Fax
(281) 463-1035
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Natalie Marie Rodriguez
Title
Office Manager
Phone
(281) 463-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0644 TX Primary

Addresses

Primary practice location

9405 Huffmeister Rd
Suite 100
Houston, TX 77095-2891

Mailing address

9405 Huffmeister Rd
Suite 100
Houston, TX 77095-2891
Phone (281) 463-7208

Other identifiers 2

IdentifierTypeStateIssuer
1083948566OtherTXNPI
00EN74OtherTXMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100119000234 TX Part B Supplier - Clinic/Group Practice 8921140617 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20100930047909 TX DME Supplier - Physician - Podiatry 8921140617 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Advanced Diagnostic Foot Ankle Specialists of Cy-Fair2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13300 Hargrave Rd
Ste 110
Houston, TX 77070
Phone (281) 737-1003

7825 Highway 6 N
Ste 110
Houston, TX 77095
Phone (281) 463-7208

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1083948566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 HUFFMEISTER RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952891",
            "telephone_number": "281-463-7208",
            "fax_number": "281-463-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 HUFFMEISTER RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952891",
            "telephone_number": "281-463-7208",
            "fax_number": "281-463-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON FOOT DOCTOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-463-7208"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083948566",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00EN74",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.