Organization Active NPI

Texas Foot and Ankle Consultants LLC

  • Foot & Ankle Surgery Podiatrist
  • Richardson, TX
National Provider Identifier
1245865062
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TEXAS FOOT AND ANKLE CONSULTANTS LLC
Practice address
399 W Campbell Rd Ste 103
Richardson, TX 75080-3615
Phone
(321) 373-3442
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Raymond Navid Delpak, DPMNPI 1972917961
Title
Owner
Phone
(321) 373-3442

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

399 W Campbell Rd Ste 103
Richardson, TX 75080-3615

Mailing address

628 Northill Dr
Richardson, TX 75080-5112
Phone (321) 373-3442

Other practice location 1

5012 S US Highway 75
Denison, TX 75020-4587
Phone (903) 462-1009

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200623003517 TX Part B Supplier - Clinic/Group Practice 2163844903 Receives reassigned benefits from 2 practitioners
Practice locations: Richardson, TX; Sherman, TX
O20200702002638 TX DME Supplier - Physician - Podiatry 2163844903 Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

2416 Swamy Dr
Ste 100
Sherman, TX 75090
Phone (214) 833-8709

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": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1245865062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NORTHILL DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805112",
            "telephone_number": "321-373-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803615",
            "telephone_number": "321-373-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 S US Highway 75",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204587",
            "country_code": "US",
            "telephone_number": "903-462-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS FOOT AND ANKLE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "DELPAK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "NAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-373-3442",
        "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 Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.