Active NPI
Marcin Noble Vaclaw, DPM
- Foot & Ankle Surgery Podiatrist
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- T36-2010
- Practice address
- 9191 Pinecroft Drive
Suite 150
The Woodlands, TX 77380-2799 - Phone
- (281) 909-7722
- Fax
- (281) 909-7733
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | T36-2010 | TX | Primary |
Addresses
Primary practice location
9191 Pinecroft Drive
Suite 150
The Woodlands, TX 77380-2799
Mailing address
9191 Pinecroft Drive
Suite 225
The Woodlands, TX 77380-2799
Phone (281) 909-7722
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9191 Pinecroft Dr
Suite 100
Shenandoah, TX 77380-2797
Phone (281) 909-7722
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 414 |
| Removal or shaving of skin growth | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052 | TX | MD | Behavioral Analyst |
| T36-2010 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBV PLLC | Current | Accepting new patients | |
| L R Anthon DPM a Professional Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Fas of TW LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| MBV PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Doordocs, LLC | Current | Accepting new patients | |
| MBV PLLC | Past | Accepting new patients |
Locations
11511 Katy Fwy
Ste 535
Houston, TX 77079
Phone (281) 600-5000
7575 San Felipe St
Ste 301
Houston, TX 77063
Phone (346) 597-7161
640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992
227 State Highway 75 N
Ste 150
Huntsville, TX 77320
9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355
9191 Pinecroft Dr
Ste 225
Shenandoah, TX 77380
Phone (281) 404-3666
9191 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 681-3905
434 W Ascension Way
Ste 425
Salt Lake City, UT 84123
Interoperability endpoints
- alleviotexas.marcinvaclaw@161097.advancedmd-direct.com
- drvaclaw@faasotw-tx.direct.office.nextgen.com
Organizations & group practices 6
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.
-
dba Foot & Ankle Specialists of the Woodlands
- Foot & Ankle Surgery Podiatrist
- The Woodlands, TX
- NPI 1396186904
-
- Foot & Ankle Surgery Podiatrist
- Houston, TX
- NPI 1639345457
-
- Foot & Ankle Surgery Podiatrist
- Shenandoah, TX
- NPI 1942011986
-
- Podiatrist
- Huntsville, TX
- NPI 1063290112
-
- Podiatrist
- Salt Lake City, UT
- NPI 1952175747
-
- Podiatrist
- Houston, TX
- NPI 1881472934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1245544691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 PINECROFT DRIVE",
"address_2": "SUITE 225",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802799",
"telephone_number": "281-909-7722",
"fax_number": "281-909-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 PINECROFT DRIVE",
"address_2": "SUITE 150",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802799",
"telephone_number": "281-909-7722",
"fax_number": "281-909-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACLAW",
"first_name": "MARCIN",
"middle_name": "NOBLE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "T36-2010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.