Individual provider Active NPI

Rebekah Denise Fontenot, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1457796617
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2189 Issued in TX
Practice address
15003 FM 529 Rd
Houston, TX 77095-4375
Phone
(281) 910-7172
Fax
(281) 503-7812
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2189 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2189 TX Primary

Addresses

Primary practice location

15003 FM 529 Rd
Houston, TX 77095-4375

Mailing address

PO Box 50
Stafford, TX 77497-0050
Phone (281) 910-7172

Other identifiers 9

IdentifierTypeStateIssuer
P01770658OtherTXRAILROAD MEDICARE
P02029593OtherTXRR MEDICARE PTAN
365966608MedicaidTX
8JC567OtherTXBCBS TX
365966602MedicaidTX
365966603MedicaidTX
365966601MedicaidTX
365966605MedicaidTX
365966604MedicaidTX

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
I20170104001988 TX Practitioner - Podiatry 7719265453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris County Hospital DistrictGroup PAC ID 1456346402, 21 clinicians

Practice addresses (Care Compare)

2525 Holly Hall St
BLDG a
Houston, TX 77054-4124
Phone (713) 566-3676

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue67
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2189TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Harris County Hospital District Current Accepting new patients

Locations

3921 N Main St
Baytown, TX 77521
Phone (281) 422-9541

2525 Holly Hall St
Bldg A
Houston, TX 77054
Phone (713) 566-3600

1615 N Main St
Houston, TX 77009
Phone (713) 222-2272

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

Interoperability endpoints

  • Direct secure messaging: rfontenot209071@directhoustonmethodist.org

Organizations & group practices 3

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.

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1457796617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774970050",
            "telephone_number": "281-910-7172",
            "fax_number": "281-503-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15003 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954375",
            "telephone_number": "281-910-7172",
            "fax_number": "281-503-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "REBEKAH",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2189",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01770658",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P02029593",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8JC567",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365966604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.