Individual provider Active NPI

Anthony J Lamarra, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1447388285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1140 Issued in TX
Practice address
2621 S Shepherd Dr
#220
Houston, TX 77098-1515
Phone
(713) 942-7700
Fax
(713) 529-6527
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1140 TX Primary

Addresses

Primary practice location

2621 S Shepherd Dr
#220
Houston, TX 77098-1515

Mailing address

2621 S Shepherd Dr
#220
Houston, TX 77098-1515
Phone (713) 942-7700

Other identifiers 2

IdentifierTypeStateIssuer
31875MedicaidTX
00G96COtherTXBCBS OF TEXAS

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
I20120524000099 TX Practitioner - Podiatry 3678736956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2621 S Shepherd Dr
Suite 220
Houston, TX 77098-1517
Phone (713) 942-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1140TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Square Podiatry,P.a. Foot & Ankle Surgery CurrentSince Mar 26, 2012 Accepting new patients

Locations

2621 S Shepherd Dr
Ste 220
Houston, TX 77098
Phone (713) 942-7700

Interoperability endpoints

  • Direct secure messaging: anthony.lamarra.1@13131.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447388285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S SHEPHERD DR",
            "address_2": "#220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981515",
            "telephone_number": "713-942-7700",
            "fax_number": "713-529-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S SHEPHERD DR",
            "address_2": "#220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981515",
            "telephone_number": "713-942-7700",
            "fax_number": "713-529-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARRA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31875",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00G96C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.