Individual provider Active NPI

Maria J Sandoval, D.P.M.

  • Podiatrist
  • Katy, TX
National Provider Identifier
1114935350
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1046 Issued in TX
Practice address
1331 W Grand Pkwy N Ste 140
Katy, TX 77493-2711
Phone
(281) 395-3338
Fax
(281) 395-3496
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 1046 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 140
Katy, TX 77493-2711

Mailing address

23230 Red River Dr
Katy, TX 77494-2046
Phone (281) 395-3338

Other identifiers 1

IdentifierTypeStateIssuer
018615701MedicaidTX

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
I20100823000055 TX Practitioner - Podiatry 0042344368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1046TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Total Foot Care Specialist PA Podiatrist CurrentSince Aug 1, 2016 Accepting new patients
Podiatry Consultants of Texas, Inc Podiatrist Past Accepting new patients

Locations

23230 Red River Dr
Katy, TX 77494
Phone (281) 221-0662

1331 W Grand Pkwy N
Ste 140
Katy, TX 77493
Phone (281) 395-3338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEECD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1114935350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23230 RED RIVER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942046",
            "telephone_number": "281-395-3338",
            "fax_number": "281-395-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 140",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-395-3338",
            "fax_number": "281-395-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018615701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.