Organization Active NPI

Foot Care of Central San Antonio

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1285819763
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1048 Issued in TX
Legal business name
FOOT CARE OF CENTRAL SAN ANTONIO
Practice address
305 E Euclid Ave
Ste 101
San Antonio, TX 78212-4709
Phone
(210) 224-9214
Fax
(210) 224-9254
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mrs. Angela Hughes
Title
Director of Operations
Phone
(210) 517-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1048 TX Primary

Addresses

Primary practice location

305 E Euclid Ave
Ste 101
San Antonio, TX 78212-4709

Mailing address

305 E Euclid Ave
Ste 101
San Antonio, TX 78212-4709
Phone (210) 224-9214

Other identifiers 2

IdentifierTypeStateIssuer
1261770001OtherTXMED/DME NUMBER
318683502MedicaidTX

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081021000496 TX Part B Supplier - Clinic/Group Practice 4385702232 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20100930078819 TX DME Supplier - Physician - Podiatry 4385702232 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

305 E Euclid Ave
#101
San Antonio, TX 78212
Phone (210) 224-9214

Practitioners & affiliated clinicians

Practitioners 1

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1285819763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E EUCLID AVE",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124709",
            "telephone_number": "210-224-9214",
            "fax_number": "210-224-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E EUCLID AVE",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124709",
            "telephone_number": "210-224-9214",
            "fax_number": "210-224-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE OF CENTRAL SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-517-0967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED/DME NUMBER",
            "identifier": "1261770001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318683502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.