Active NPI
Gregory M Stirneman, DPM
- Foot & Ankle Surgery Podiatrist
- San Benito, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1312
- Practice address
- 850 W US Highway 77 Ste C
San Benito, TX 78586-4317 - Phone
- (956) 361-4558
- Fax
- (956) 361-4998
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1312 | TX | Primary |
Addresses
Primary practice location
850 W US Highway 77 Ste C
San Benito, TX 78586-4317
Mailing address
850 W US Highway 77 Ste C
San Benito, TX 78586-4317
Phone (956) 361-4558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036323601 | Medicaid | TX | |
| 00U65P | Other | TX | BLUE CROSS BLUE SHIELD |
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
- William M. Scholl College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4330 Medical Dr
Suite 500
San Antonio, TX 78229-3318
Phone (210) 558-0122
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 11 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142 | AL | MD | Professional Counselor |
| 1312 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Networks, Inc. | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Past | Accepting new patients |
Locations
5460 Paredes Line Rd
Ste 209
Brownsville, TX 78526
Phone (956) 554-0010
4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- gregory.stirneman@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1285715862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W US HIGHWAY 77 STE C",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785864317",
"telephone_number": "956-361-4558",
"fax_number": "956-361-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W US HIGHWAY 77 STE C",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785864317",
"telephone_number": "956-361-4558",
"fax_number": "956-361-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIRNEMAN",
"first_name": "GREGORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036323601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00U65P",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.