Active NPI
Marque Anthony Allen, DPM
- Foot Surgery Podiatrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 1457
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147689702 | Medicaid | TX | |
| 8K7143 | Other | TX | BCBS |
| 10572631 | Other | TX | CAQH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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 100
- Quality
- 69.73
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 | GA | MD | Marriage & Family Therapist |
| 1457 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine Associates of San Antonio, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Sports Medicine Associates of San Antonio, PA | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- San Antonio, TX
- NPI 1861549503
Foot & Ankle Surgery, TX
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1568280808
-
- Physical Therapist
- San Antonio, TX
- NPI 1609124312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.