Individual provider Active NPI

Amy Susan Walsh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spring, TX
National Provider Identifier
1386740645
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1475 Issued in TX
Practice address
8681 Louetta Rd
Suite 150
Spring, TX 77379-6681
Phone
(281) 370-0648
Fax
(281) 251-3350
NPI assigned
Sep 15, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1475 TX Primary

Addresses

Primary practice location

8681 Louetta Rd
Suite 150
Spring, TX 77379-6681

Mailing address

8681 Louetta Rd
Suite 150
Spring, TX 77379-6681
Phone (281) 370-0648

Other identifiers 1

IdentifierTypeStateIssuer
044994402MedicaidTX

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
I20070420000240 TX Practitioner - Podiatry 0345345278 Reassigns benefits to 1 organization
Practice locations: Spring, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louetta Foot and Ankle SpecialistsGroup PAC ID 3173666310, 3 clinicians

Practice addresses (Care Compare)

8681 Louetta Rd
Suite 150
Spring, TX 77379-6682
Phone (281) 370-0648

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue62
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1475TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louetta Foot and Ankle Specialists CurrentSince Jan 1, 2010 Accepting new patients

Locations

8681 Louetta Rd
Ste 150
Spring, TX 77379
Phone (281) 370-0648

455 School St
Ste 12
Tomball, TX 77375
Phone (281) 364-9509

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2477/brand/28/csg/21/fhir/r4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1386740645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8681 LOUETTA RD",
            "address_2": "SUITE 150",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796681",
            "telephone_number": "281-370-0648",
            "fax_number": "281-251-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8681 LOUETTA RD",
            "address_2": "SUITE 150",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796681",
            "telephone_number": "281-370-0648",
            "fax_number": "281-251-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044994402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.