Individual provider Active NPI

Ronald Louis Wokasien, D.P.M.

  • Podiatrist
  • Austin, TX
National Provider Identifier
1104825538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
674 Issued in TX
Practice address
13219 Research Blvd
Austin, TX 78750-3249
Phone
(512) 250-0444
Fax
(512) 335-1986
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 674 TX Primary

Addresses

Primary practice location

13219 Research Blvd
Austin, TX 78750-3249

Mailing address

13219 Research Blvd
Austin, TX 78750-3231
Phone (512) 250-0444

Other identifiers 1

IdentifierTypeStateIssuer
0187585-01MedicaidTX

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
I20100823000034 TX Practitioner - Podiatry 4880728104 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12710 Research Blvd
Austin, TX 78759-4460
Phone (512) 250-0444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
674TXMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104825538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13219 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503231",
            "telephone_number": "512-250-0444",
            "fax_number": "512-335-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13219 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503249",
            "telephone_number": "512-250-0444",
            "fax_number": "512-335-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOKASIEN",
        "first_name": "RONALD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187585-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.