Organization Active NPI

Beltway Foot Clinic PLLC

  • Podiatrist
  • Houston, TX
National Provider Identifier
1285934737
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1729 Issued in TX
Legal business name
BELTWAY FOOT CLINIC PLLC
Practice address
9515 Bellaire Blvd
#B
Houston, TX 77036-4545
Phone
(713) 988-4848
Fax
(281) 412-9961
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Lauren L Sum, DPMNPI 1972522399
Title
President
Phone
(713) 988-4848

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1729 TX Primary

Addresses

Primary practice location

9515 Bellaire Blvd
#B
Houston, TX 77036-4545

Mailing address

9515 Bellaire Blvd
#B
Houston, TX 77036-4545
Phone (713) 988-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000081 TX Part B Supplier - Clinic/Group Practice 1456533819 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1285934737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 BELLAIRE BLVD",
            "address_2": "#B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364545",
            "telephone_number": "713-988-4848",
            "fax_number": "281-412-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 BELLAIRE BLVD",
            "address_2": "#B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364545",
            "telephone_number": "713-988-4848",
            "fax_number": "281-412-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTWAY FOOT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "SUM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-988-4848",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.