Individual provider Active NPI

Binh Ta, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Park, TX
National Provider Identifier
1336512508
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2333 Issued in TX
Practice address
301 Denali Pass Ste 1
Cedar Park, TX 78613
Phone
(512) 819-4555
Fax
(512) 819-4559
NPI assigned
Nov 10, 2015
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000593 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 2333 TX Primary

Addresses

Primary practice location

301 Denali Pass Ste 1
Cedar Park, TX 78613

Mailing address

301 Denali Pass Ste 1
Cedar Park, TX 78613-2079
Phone (512) 819-4555

Other practice location 1

7702 Banpass Ln
Austin, TX 78736
Phone (858) 774-5762

Other practice location 2

3316 Williams Dr Ste 120
Georgetown, TX 78628-2891
Phone (512) 819-4555

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
I20181025000385 TX Practitioner - Podiatry 8628321452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Austin Foot and Ankle Clinic, PLLCGroup PAC ID 7719119148, 2 clinicians

Practice addresses (Care Compare)

170 Benney LN
Suite 100
Dripping Springs, TX 78620-5566
Phone (512) 894-5100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue105
Removal of skin lesions16
Removal of nail tissue20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000593OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Austin Foot & Ankle Clinic, PLLC Foot & Ankle Surgery CurrentSince Sep 30, 2022 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC CurrentSince Sep 30, 2022 Accepting new patients
Airrosti Rehab Centers, LLC PastSince Sep 25, 2019 Accepting new patients

Locations

5625 Eiger Rd
Ste 110
Austin, TX 78735
Phone (512) 447-4122

170 Benney Ln
Ste 100
Dripping Springs, TX 78620
Phone (512) 504-7411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1336512508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7702 Banpass Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78736",
            "country_code": "US",
            "telephone_number": "858-774-5762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3316 Williams Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282891",
            "country_code": "US",
            "telephone_number": "512-819-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "BINH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000593",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.