Organization Active NPI

Robert E Graser DPM, PA

  • Podiatrist
  • Boerne, TX
National Provider Identifier
1306045356
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ROBERT E GRASER DPM, PA
Practice address
34910 Interstate 10 W Ste 502
Boerne, TX 78006-9230
Phone
(830) 253-0008
Fax
(830) 253-0007
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Aida Aracely Graser
Title
Administrator / Authorized Official
Phone
(830) 331-8017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1208 TX

Addresses

Primary practice location

34910 Interstate 10 W Ste 502
Boerne, TX 78006-9230

Mailing address

34910 Interstate 10 W Ste 502
Boerne, TX 78006-9230
Phone (830) 253-0008

Other practice location 1

605 20th St
Hondo, TX 78861-2509
Phone (830) 253-0008

Other practice location 2

102 State Highway 132 N
Devine, TX 78016-1819
Phone (830) 253-0008

Other identifiers 1

IdentifierTypeStateIssuer
162018902MedicaidTX

Other names 1

  • GRASER PODIATRY & BUNION SURGERY INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040724000194 TX Part B Supplier - Clinic/Group Practice 1456331867 Receives reassigned benefits from 1 practitioner
Practice locations: Boerne, TX

National Provider Directory

National Provider Directory

Locations

34910 Interstate 10 W
Ste 502
Boerne, TX 78006
Phone (830) 253-0008

605 20th St
Hondo, TX 78861
Phone (830) 253-0008

98 Briggs St
Ste 925
San Antonio, TX 78224
Phone (210) 922-1551

Practitioners & affiliated clinicians

Practitioners 4

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1306045356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W STE 502",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069230",
            "telephone_number": "830-253-0008",
            "fax_number": "830-253-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W STE 502",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069230",
            "telephone_number": "830-253-0008",
            "fax_number": "830-253-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 20th St",
            "address_purpose": "LOCATION",
            "city": "Hondo",
            "state": "TX",
            "postal_code": "788612509",
            "country_code": "US",
            "telephone_number": "830-253-0008",
            "fax_number": "830-253-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 State Highway 132 N",
            "address_purpose": "LOCATION",
            "city": "Devine",
            "state": "TX",
            "postal_code": "780161819",
            "country_code": "US",
            "telephone_number": "830-253-0008",
            "fax_number": "830-253-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT E GRASER DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "GRASER",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "ARACELY",
        "authorized_official_title_or_position": "ADMINISTRATOR / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "830-331-8017"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162018902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRASER PODIATRY & BUNION SURGERY INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

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