Individual provider Active NPI

Caroline Diane Gaynor, DPM

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1174515589
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1909 Issued in TX
Practice address
11212 State Hwy 151, Medical Plaza 1 Ste. 370
San Antonio, TX 78251-4504
Phone
(210) 664-4700
Fax
(210) 314-1771
NPI assigned
Aug 22, 2005
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 1909 TX
Foot Surgery Podiatrist 213ES0131X 1909 TX Primary

Addresses

Primary practice location

11212 State Hwy 151, Medical Plaza 1 Ste. 370
San Antonio, TX 78251-4504

Mailing address

11212 State Hwy 151, Medical Plaza 1 Ste. 370
San Antonio, TX 78251-4504
Phone (210) 664-4700

Other practice location 1

5126 W Loop 1604 N Ste 110
San Antonio, TX 78251-4408
Phone (210) 664-4700

Other identifiers 2

IdentifierTypeStateIssuer
8BT931OtherTXBCBS
215975801MedicaidTX

Other names 1

  • Dr. Caroline Diane Gaynor-Elko Other name

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
I20100422000551 TX Practitioner - Podiatry 6901842350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5126 W Loop 1604
Suite 110
San Antonio, TX 78251-4408
Phone (210) 664-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions36
Removal of nail tissue187
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1909TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Foot and Ankle Center, LLC Foot & Ankle Surgery CurrentSince Jun 1, 2018 Accepting new patients
Podiatry Group- Hebrew Home Past Accepting new patients
Lyle T. Modlin, DPM PA Foot & Ankle Surgery Past Accepting new patients
The Podiatry Group of South Texas, PA Past Accepting new patients
Foot & Ankle LLC Foot & Ankle Surgery PastSince Jul 9, 2007 Accepting new patients

Locations

301 Main Plz
New Braunfels, TX 78130
Phone (210) 710-4265

11212 State Highway 151
Ste 370
San Antonio, TX 78251
Phone (210) 664-4700

5126 W Loop 1604 N
Ste 110
San Antonio, TX 78251
Phone (210) 644-4700

Interoperability endpoints

  • Direct secure messaging: caroline.gaynor.1@18321.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18321/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1174515589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514504",
            "telephone_number": "210-664-4700",
            "fax_number": "210-314-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514504",
            "telephone_number": "210-664-4700",
            "fax_number": "210-314-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5126 W Loop 1604 N Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514408",
            "country_code": "US",
            "telephone_number": "210-664-4700",
            "fax_number": "210-314-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYNOR",
        "first_name": "CAROLINE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1909",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BT931",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215975801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "GAYNOR-ELKO",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.