NPIMap

Organization Active NPI

MBV PLLC

Doing business as Foot & Ankle Specialists of the Woodlands

  • Foot & Ankle Surgery Podiatrist
  • The Woodlands, TX
National Provider Identifier
1396186904
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2052 Issued in TX
Legal business name
MBV PLLC
Doing business as
Foot & Ankle Specialists of the Woodlands
Practice address
9191 Pinecroft Dr.
Suite 225
The Woodlands, TX 77380-2799
Phone
(281) 909-7722
Fax
(281) 909-7733
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Marcin Noble Vaclaw, DPMNPI 1245544691
Title
Owner
Phone
(281) 909-7722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2052 TX Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

9191 Pinecroft Dr.
Suite 225
The Woodlands, TX 77380-2799

Mailing address

9191 Pinecroft Dr Ste 225
Shenandoah, TX 77380-2807
Phone (281) 909-7722

Other names 1

  • Foot & Ankle Specialists of the Woodlands Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130920000747 TX DME Supplier - Physician - Podiatry 2860636446 Practice locations: Shenandoah, TX
O20131121001637 TX Part B Supplier - Clinic/Group Practice 2860636446 Receives reassigned benefits from 23 practitioners
Practice locations: Shenandoah, TX; Huntsville, TX; Humble, TX; Houston, TX; Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2322463MBV, PLLC9191 Pinecroft Dr Ste 130, The Woodlands, TX 77380ComplianceSep 29, 2027

National Provider Directory

National Provider Directory

Locations

9191 Pinecroft Dr
Ste 225
Shenandoah, TX 77380
Phone (281) 404-3666

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1396186904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 225",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802807",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR.",
            "address_2": "SUITE 225",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802799",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "VACLAW",
        "authorized_official_first_name": "MARCIN",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-909-7722",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2052",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Specialists of the Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.