Active NPI
Kelly Matthew-Gil, DPM
- Podiatrist
- Hallettsville, TX
National Provider Identifier
1174626386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- TXDP1325
- Practice address
- 1406 N Texana St
Hallettsville, TX 77964-2021 - Phone
- (361) 798-3671
- Fax
- (361) 798-3121
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | TXDP1325 | TX | Primary |
Addresses
Primary practice location
1406 N Texana St
Hallettsville, TX 77964-2021
Mailing address
1406 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165310701 | Medicaid | TX | |
| 8U5360 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TXDP1325 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Consultants of Texas, Inc | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Katy, TX
- NPI 1831147990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174626386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 N TEXANA ST",
"city": "HALLETTSVILLE",
"state": "TX",
"postal_code": "779642021",
"telephone_number": "361-798-3671",
"fax_number": "361-798-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 N TEXANA ST",
"city": "HALLETTSVILLE",
"state": "TX",
"postal_code": "779642021",
"telephone_number": "361-798-3671",
"fax_number": "361-798-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW-GIL",
"first_name": "KELLY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "TXDP1325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165310701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8U5360",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallettsville, TX
- Lavaca Hospital District (Lavaca Medical Center-SwingBed)
- Lavaca Hospital District (Lavaca Family Health Clinic)
- Lavaca Hospital District (Lavaca Medical Center)
- Mandie Lozano
- Yvette Massey, LPC
- Terri McGee
- Tristan Meisetschleager, M.S. CCC - SLP
- Jessica Dornak Meyer, PTA
- Pamela New, M.D.
- Kacie Ovard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.