Organization Active NPI

Delara Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bedford, TX
National Provider Identifier
1154932812
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DELARA FOOT AND ANKLE PLLC
Practice address
1604 Hospital Pkwy Ste 309
Bedford, TX 76022-6931
Phone
(817) 928-3231
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Dr. Marc Delara, DPMNPI 1952728305
Title
Owner/Physician
Phone
(817) 928-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 309
Bedford, TX 76022-6931

Mailing address

1604 Hospital Pkwy Ste 309
Bedford, TX 76022-6931
Phone (817) 928-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915003359 TX Part B Supplier - Clinic/Group Practice 2860810363 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1615 Hospital Pkwy
Ste 202
Bedford, TX 76022
Phone (301) 326-8646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1154932812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226931",
            "telephone_number": "817-928-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226931",
            "telephone_number": "817-928-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELARA FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "DELARA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-928-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.