Individual provider Active NPI

Gary Charles Mashigian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Carrollton, TX
National Provider Identifier
1306823018
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0948 Issued in TX
Practice address
4333 N Josey LN
Ste 206
Carrollton, TX 75010-4631
Phone
(972) 939-1757
Fax
(972) 939-1682
NPI assigned
Dec 23, 2005
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0948 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 0948 TX Primary

Addresses

Primary practice location

4333 N Josey LN
Ste 206
Carrollton, TX 75010-4631

Mailing address

4333 N Josey LN
Ste 206
Carrollton, TX 75010-4631
Phone (972) 625-7009

Other identifiers 2

IdentifierTypeStateIssuer
130992404MedicaidTX
86981SOtherTXBCBS PROVIDER NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000472 TX Practitioner - Podiatry 2860508108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0948TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Medical Partners of Texas, PA Podiatrist CurrentSince Dec 13, 2024 Accepting new patients
Podiatric Medical Partners of Texas, PA Podiatrist CurrentSince Dec 13, 2024 Accepting new patients
Footcare PA Podiatrist Current Accepting new patients
Podiatric Medical Partners of Texas, PA Podiatrist Current Accepting new patients

Locations

2625 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 466-8514

4333 N Josey Ln
Ste 206
Carrollton, TX 75010
Phone (972) 939-1757

6760 Abrams Rd
Ste 203
Dallas, TX 75231
Phone (214) 340-8885

9300 John Hickman Pkwy
Ste 1304
Frisco, TX 75035
Phone (972) 781-1970

5940 W Parker Rd
Ste 202
Plano, TX 75093
Phone (972) 781-1970

6900 Denton Hwy
Ste 111
Watauga, TX 76148
Phone (817) 427-2823

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1306823018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104631",
            "telephone_number": "972-625-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104631",
            "telephone_number": "972-939-1757",
            "fax_number": "972-939-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHIGIAN",
        "first_name": "GARY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0948",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130992404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "86981S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.