NPIMap

Individual provider Active NPI

Ricky L. Childers, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
National Provider Identifier
1396855458
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1932 Issued in TX
Practice address
1713 S FM 51
Decatur, TX 76234-3642
Phone
(940) 627-6976
Fax
(940) 627-3491
NPI assigned
Aug 30, 2006
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 1932 TX Primary

Addresses

Primary practice location

1713 S FM 51
Decatur, TX 76234-3642

Mailing address

1713 S FM 51 Ste 103
Decatur, TX 76234-3644
Phone (940) 627-6976

Other identifiers 2

IdentifierTypeStateIssuer
8EE386OtherTXBCNSTX
334278401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131000126 TX Practitioner - Podiatry 0547265357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

351 W Byron Nelson Blvd
Suite 100
Roanoke, TX 76262-3513
Phone (817) 764-7494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue56
Removal of skin lesions1-10
Removal of nail tissue40
Removal or shaving of skin growth34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Nichols D P M P a Foot & Ankle Surgery CurrentSince Sep 11, 2017 Accepting new patients
Richard a Nichols, DPM, PA Foot & Ankle Surgery CurrentSince Sep 11, 2017 Accepting new patients
Roanoke Foot & Ankle Institute, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2020 Accepting new patients
Roanoke Foot & Ankle Institute, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2020 Accepting new patients
Center for Urologic Surgery LLC Past Accepting new patients

Locations

1713 S FM 51
Ste 103
Decatur, TX 76234
Phone (940) 627-2570

2301 S FM 51
Ste 100
Decatur, TX 76234
Phone (817) 674-7494

1600 Lancaster Dr
Ste 102
Grapevine, TX 76051
Phone (817) 481-4000

351 W Byron Nelson Blvd
Ste 100
Roanoke, TX 76262
Phone (817) 674-7494

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20589/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: ricky.childers.1@20589.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1396855458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S FM 51 STE 103",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343644",
            "telephone_number": "940-627-6976",
            "fax_number": "940-627-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343642",
            "telephone_number": "940-627-6976",
            "fax_number": "940-627-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "RICKY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNSTX",
            "identifier": "8EE386",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334278401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.