Organization Active NPI

Star Foot & Ankle Specialists PLLC

  • Podiatrist
  • Frisco, TX
National Provider Identifier
1356013486
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
STAR FOOT & ANKLE SPECIALISTS PLLC
Practice address
3550 Parkwood Blvd Ste 702
Frisco, TX 75034-1920
Phone
(972) 559-0051
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Dr. Morgan Zellers, DPM
Title
Part Owner
Phone
(219) 670-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3550 Parkwood Blvd Ste 702
Frisco, TX 75034-1920

Mailing address

3550 Parkwood Blvd Ste 702
Frisco, TX 75034-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103002415 TX Part B Supplier - Clinic/Group Practice 3870981293 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3550 Parkwood Blvd
Ste 702
Frisco, TX 75034
Phone (219) 670-9505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1356013486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD STE 702",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD STE 702",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341920",
            "telephone_number": "972-559-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR FOOT & ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ZELLERS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "219-670-9505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.