Individual provider Active NPI

Marvin Sanchez, D.P.M.

  • Foot Surgery Podiatrist
  • Lytle, TX
National Provider Identifier
1407931397
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1554 Issued in TX
Practice address
19432 Davis Street
Lytle, TX 78052
Phone
(830) 709-9960
Fax
(210) 949-0960
NPI assigned
Oct 26, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1554 TX Primary

Addresses

Primary practice location

19432 Davis Street
Lytle, TX 78052

Mailing address

PO Box 40189
San Antonio, TX 78229-1189
Phone (210) 849-4457

Other identifiers 1

IdentifierTypeStateIssuer
148109501MedicaidTX

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
I20040715001426 TX Practitioner - Podiatry 5395724066 Practice locations: Lytle, TX; San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raul Hidalgo DPM PA PastSince Sep 1, 2011 Accepting new patients
Donald E Robinson DPM PC Past Accepting new patients
The Podiatry Group of South Texas, P.a. Past Accepting new patients

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1407931397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40189",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291189",
            "telephone_number": "210-849-4457",
            "fax_number": "210-949-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19432 DAVIS STREET",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "78052",
            "telephone_number": "830-709-9960",
            "fax_number": "210-949-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148109501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lytle, TX

Sources for this page

Verify at the official NPI Registry.