Organization Active NPI

Metroplex Foot and Ankle Center, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
National Provider Identifier
1174781876
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
METROPLEX FOOT AND ANKLE CENTER, PLLC
Practice address
8704 Medical City Way
Fort Worth, TX 76177-2414
Phone
(817) 595-1310
Fax
(817) 595-1321
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Dr. Steven G Lund, DPMNPI 1184655938
Title
Partner
Phone
(817) 595-1310

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

8704 Medical City Way
Fort Worth, TX 76177-2414

Mailing address

8704 Medical City Way
Fort Worth, TX 76177-2414
Phone (817) 595-1310

Other identifiers 2

IdentifierTypeStateIssuer
0019RLOtherTXBCBS
209962401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080930000474 TX Part B Supplier - Clinic/Group Practice 7618044876 Receives reassigned benefits from 3 practitioners
Practice locations: Denton, TX; Fort Worth, TX; N Richland Hills, TX
O20100930057129 TX DME Supplier - Physician - Podiatry 7618044876 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

4375 Booth Calloway Rd
Ste 501
North Richlnd Hls, TX 76180
Phone (817) 284-4500

Practitioners & affiliated clinicians

Practitioners 3

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1174781876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 MEDICAL CITY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772414",
            "telephone_number": "817-595-1310",
            "fax_number": "817-595-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 MEDICAL CITY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772414",
            "telephone_number": "817-595-1310",
            "fax_number": "817-595-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX FOOT AND ANKLE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-595-1310",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0019RL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209962401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.