Individual provider Active NPI

Jeff Hetman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1326092081
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1238 Issued in TX
Practice address
915 Gessner Rd
Suite 460
Houston, TX 77024-2527
Phone
(713) 464-3775
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1238 TX Primary

Addresses

Primary practice location

915 Gessner Rd
Suite 460
Houston, TX 77024-2527

Mailing address

915 Gessner Rd
Suite 460
Houston, TX 77024-2527
Phone (713) 464-3775

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
I20080410000274 TX Practitioner - Podiatry 6608845847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Specialists of MemorialGroup PAC ID 1557448883, 2 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 460
Houston, TX 77024-2520
Phone (713) 464-3775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of nail tissue65
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1123TXMDMarriage & Family Therapist
1238TXMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Memorial Foot & Ankle Surgery CurrentSince Jul 1, 2006 Accepting new patients
Foot Specialists of Memorial, PA Foot & Ankle Surgery Past Accepting new patients
Southeast Texas Foot and Ankle PA Foot & Ankle Surgery PastSince Aug 3, 1998 Accepting new patients

Locations

2051 Greenhouse Rd
Ste 150
Houston, TX 77084
Phone (281) 371-3338

915 Gessner Rd
Ste 460
Houston, TX 77024
Phone (713) 464-3775

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAGFAA/Endpoint/DAGFAA
  • Direct secure messaging: jeff.hetman@fsom.eclinicaldirectplus.com
  • Direct secure messaging: jhetman399122@directhoustonmethodist.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1326092081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-464-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-464-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETMAN",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.