Individual provider Active NPI

Marque Anthony Allen, DPM

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1124175807
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1457 Issued in TX
Practice address
21 Spurs LN
Ste 300
San Antonio, TX 78240-1679
Phone
(210) 699-8326
Fax
(210) 561-7121
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1457 TX
Foot Surgery Podiatrist 213ES0131X 1457 TX Primary

Addresses

Primary practice location

21 Spurs LN
Ste 300
San Antonio, TX 78240-1679

Mailing address

21 Spurs LN
Ste 300
San Antonio, TX 78240-1679
Phone (210) 699-8326

Other identifiers 3

IdentifierTypeStateIssuer
147689702MedicaidTX
8K7143OtherTXBCBS
10572631OtherTXCAQH

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
I20040330001510 TX Practitioner - Podiatry 0143212373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 300
San Antonio, TX 78240-1679
Phone (210) 699-8326

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as individual
Quality
69.73
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
841GAMDMarriage & Family Therapist
1457TXMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA Foot & Ankle Surgery CurrentSince Jan 4, 2004 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Jan 4, 2004 Accepting new patients
Sports Medicine Associates of San Antonio, PA Past Accepting new patients

Locations

112 Herff Rd
Ste 300
Boerne, TX 78006

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

3303 Rogers Rd
Ste 205
San Antonio, TX 78251
Phone (210) 687-8015

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

10622 State Highway 151
Ste 204
San Antonio, TX 78251
Phone (210) 798-8576

5917 Broadway
Ste 340
San Antonio, TX 78209

430 W Sunset Rd
Ste 440
San Antonio, TX 78209

21 Spurs Ln
Ste 210
San Antonio, TX 78240
Phone (832) 621-0699

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

Organizations & group practices 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1124175807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401679",
            "telephone_number": "210-699-8326",
            "fax_number": "210-561-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401679",
            "telephone_number": "210-699-8326",
            "fax_number": "210-561-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARQUE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1457",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147689702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K7143",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10572631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.