NPIMap

Organization Active NPI

San Antonio Podiatry Associates, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Kyle, TX
National Provider Identifier
1457069403
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SAN ANTONIO PODIATRY ASSOCIATES, PLLC
Practice address
1180 Seton Pkwy Ste 300
Kyle, TX 78640-6179
Phone
(737) 286-9009
Fax
(737) 286-8260
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Angela Treece Anzaldua
Title
Regional Vice President - Texas
Phone
(210) 899-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1180 Seton Pkwy Ste 300
Kyle, TX 78640-6179

Mailing address

12450 Network Blvd Ste 103
San Antonio, TX 78249-3466
Phone (210) 899-1026

Other names 1

  • Greater Austin Podiatry Associates Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319000354 TX Part B Supplier - Clinic/Group Practice 6305736547 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Kyle, TX; New Braunfels, TX
O20230808004133 TX DME Supplier - Physician - Podiatry 6305736547 Practice locations: Kyle, TX

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1457069403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 NETWORK BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493466",
            "telephone_number": "210-899-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "737-286-9009",
            "fax_number": "737-286-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PODIATRY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TREECE",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT - TEXAS",
        "authorized_official_telephone_number": "210-899-1026"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Austin Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.