Organization Active NPI

Raul Hidalgo DPM PA

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1356621189
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
15999 Issued in TX
Legal business name
RAUL HIDALGO DPM PA
Practice address
526 Camden St
San Antonio, TX 78215-1924
Phone
(210) 222-2990
Fax
(210) 227-5575
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Raul Hidalgo, DPMNPI 1760479729
Title
Owner/Physician
Phone
(210) 222-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 15999 TX Primary

Addresses

Primary practice location

526 Camden St
San Antonio, TX 78215-1924

Mailing address

19179 Blanco Rd
Suite 105 Box 403
San Antonio, TX 78258-4042
Phone (210) 222-2990

Other names 1

  • Downtown Foot and Ankle Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111201000612 TX Part B Supplier - Clinic/Group Practice 7911171905 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20241023000379 TX DME Supplier - Multi-Specialty - Physician 7911171905 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

526 Camden St
San Antonio, TX 78215
Phone (210) 222-2990

Practitioners & affiliated clinicians

Practitioners 3

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1356621189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD",
            "address_2": "SUITE 105 BOX 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584042",
            "telephone_number": "210-222-2990",
            "fax_number": "210-227-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-222-2990",
            "fax_number": "210-227-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL HIDALGO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-222-2990",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "15999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.