Active NPI
Mohammad Reza Darrigan, DPM
- Podiatrist
- San Antonio, TX
National Provider Identifier
1114928520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 213E00000X
- Practice address
- 12333 Wetmore Rd
San Antonio, TX 78247-3638 - Phone
- (210) 495-6477
- Fax
- (210) 495-6484
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 213E00000X | TX | Primary |
Addresses
Primary practice location
12333 Wetmore Rd
San Antonio, TX 78247-3638
Mailing address
12333 Wetmore Rd
San Antonio, TX 78247-3638
Phone (210) 495-6477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00FJ20 | Other | TX | BCBS OF TEXAS |
| 480003153 | Other | TX | RAILROAD MEDICARE |
| 018704901 | Medicaid | TX |
Other names 1
- Dr. Robert David Darrigan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213E00000X | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot and Ankle Care PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Lubbock, TX
- NPI 1336356815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1114928520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12333 WETMORE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473638",
"telephone_number": "210-495-6477",
"fax_number": "210-495-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 WETMORE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473638",
"telephone_number": "210-495-6477",
"fax_number": "210-495-6484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARRIGAN",
"first_name": "MOHAMMAD",
"middle_name": "REZA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "213E00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "00FJ20",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480003153",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018704901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "DARRIGAN",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.