NPIMap

Organization Active NPI

Fulshear Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Fulshear, TX
National Provider Identifier
1346628161
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FULSHEAR FOOT AND ANKLE PLLC
Practice address
7609 Tiki Dr Ste D
Fulshear, TX 77441-1678
Phone
(281) 391-1212
NPI assigned
May 13, 2015
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Dr. Melissa P Hurwitz, DPM
Title
Managing Member
Phone
(315) 380-3530

Specialties & licenses 1

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

Addresses

Primary practice location

7609 Tiki Dr Ste D
Fulshear, TX 77441-1678

Mailing address

7609 Tiki Dr Ste D
Fulshear, TX 77441-1678
Phone (281) 391-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150806011214 TX Part B Supplier - Clinic/Group Practice 6103130935 Receives reassigned benefits from 3 practitioners
Practice locations: Fulshear, TX
O20151026000289 TX DME Supplier - Physician - Podiatry 6103130935 1 other NPI on this enrollment
Practice locations: Fulshear, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7609 Tiki Dr
Ste D
Fulshear, TX 77441
Phone (281) 391-1212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11544/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1346628161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 TIKI DR STE D",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411678",
            "telephone_number": "281-391-1212",
            "fax_number": "281-346-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 TIKI DR STE D",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411678",
            "telephone_number": "281-391-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULSHEAR FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "315-380-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.