Individual provider Active NPI

Sara Elizabeth Grzywa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Universal City, TX
National Provider Identifier
1124413836
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3043 Issued in TX
Practice address
13525 Centerbrook Ste 104
Universal City, TX 78148-2734
Phone
(210) 375-3318
Fax
(210) 257-6931
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3043 TX
Sports Medicine Podiatrist 213ES0000X 3043 TX
Foot Surgery Podiatrist 213ES0131X 3043 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 3043 TX Primary

Addresses

Primary practice location

13525 Centerbrook Ste 104
Universal City, TX 78148-2734

Mailing address

13525 Centerbrook Ste 104
Universal City, TX 78148-2734
Phone (210) 375-3318

Other practice location 1

409 N Bryant St
Pleasanton, TX 78064-3432
Phone (830) 569-3338

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
I20211130003232 TX Practitioner - Podiatry 9436442670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D J Silvester DPM PAGroup PAC ID 0840377099, 4 clinicians

Practice addresses (Care Compare)

13525 Centerbrook
Suite 104
Universal City, TX 78148-2734
Phone (210) 375-3318

409 N Bryant St
Pleasanton, TX 78064-3432
Phone (830) 569-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue71
Removal of skin lesions11
Removal of nail tissue80
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3043TXMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D J Silvester DPM PA Podiatrist CurrentSince Dec 1, 2021 Accepting new patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Aug 1, 2019 Accepting new patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Aug 1, 2019 Accepting new patients

Locations

2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639

409 N Bryant St
Pleasanton, TX 78064
Phone (830) 569-3338

13525 Centerbrook
Ste 104
Universal Cty, TX 78148
Phone (210) 375-3318

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1124413836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 CENTERBROOK STE 104",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482734",
            "telephone_number": "210-375-3318",
            "fax_number": "210-257-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 CENTERBROOK STE 104",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482734",
            "telephone_number": "210-375-3318",
            "fax_number": "210-257-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Bryant St",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "TX",
            "postal_code": "780643432",
            "country_code": "US",
            "telephone_number": "830-569-3338",
            "fax_number": "830-569-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZYWA",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3043",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "3043",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "3043",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.