Individual provider Active NPI

Shay Fish, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kerrville, TX
National Provider Identifier
1134217516
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1132 Issued in TX
Practice address
420 Water St
Suite 107
Kerrville, TX 78028-5200
Phone
(830) 895-3400
Fax
(210) 692-9529
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1132 TX Primary

Addresses

Primary practice location

420 Water St
Suite 107
Kerrville, TX 78028-5200

Mailing address

PO Box 291768
Kerrville, TX 78029-1768
Phone (830) 895-3400

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
I20050124000244 TX Practitioner - PodiatryPractitioner - Other (Physician) 1850340340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Foot Surgeons PAGroup PAC ID 7214986702, 2 clinicians
South Texas Foot Surgeons, P.a.Group PAC ID 3274574496, 2 clinicians

Practice addresses (Care Compare)

420 Water St
Suite 107
Kerrville, TX 78028-5200
Phone (830) 895-3400

5282 Medical Dr
Suite 260
San Antonio, TX 78229-6039
Phone 21061608192

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
78.84 of 100Reported as individual
Quality
62.07
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.84 of 100Reported as individual
Quality
62.07
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue610
Removal of skin lesions76
Removal of nail tissue805
Removal or shaving of skin growth97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Foot Surgeons, P.a. Foot & Ankle Surgery CurrentSince Dec 1, 2004 Accepting new patients
South Texas Foot Surgeons, P.a. Foot & Ankle Surgery CurrentSince Sep 9, 2002 Accepting new patients

Locations

420 Water St
Ste 107
Kerrville, TX 78028
Phone (830) 895-3400

5282 Medical Dr
Ste 260
San Antonio, TX 78229
Phone (210) 616-0819

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134217516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291768",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780291768",
            "telephone_number": "830-895-3400",
            "fax_number": "210-692-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WATER ST",
            "address_2": "SUITE 107",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285200",
            "telephone_number": "830-895-3400",
            "fax_number": "210-692-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.