Individual provider Active NPI

Banafsheh Baharloo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1326307794
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2095 Issued in TX
Practice address
11515 Chimney Rock Rd
Houston, TX 77035-2905
Phone
(713) 728-3117
Fax
(713) 728-2212
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2095 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2095 TX Primary

Addresses

Primary practice location

11515 Chimney Rock Rd
Houston, TX 77035-2905

Mailing address

11515 Chimney Rock Rd
Houston, TX 77035-2905
Phone (713) 728-3117

Other identifiers 1

IdentifierTypeStateIssuer
344183401MedicaidTX

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
I20150126001178 TX Practitioner - Podiatry 1759605678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Foot and Ankle Specialists PLLCGroup PAC ID 3072837236, 3 clinicians

Practice addresses (Care Compare)

11515 Chimney Rock Rd
Houston, TX 77035-2905
Phone (713) 728-3117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue92
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Foot and Ankle Specialists PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

11515 Chimney Rock Rd
Houston, TX 77035
Phone (713) 728-3117

Organizations & group practices 1

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1326307794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352905",
            "telephone_number": "713-728-3117",
            "fax_number": "713-728-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352905",
            "telephone_number": "713-728-3117",
            "fax_number": "713-728-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHARLOO",
        "first_name": "BANAFSHEH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "2095",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344183401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.