Individual provider Active NPI

Liza Chabokrow, DPM

  • Public Medicine Podiatrist
  • Austin, TX
National Provider Identifier
1477733996
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Medicine PodiatristTaxonomy code 213EP0504X
License
1901 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste K1
Austin, TX 78759-8600
Phone
(512) 394-5108
Fax
(512) 394-5109
NPI assigned
Nov 13, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1901 TX
Public Medicine Podiatrist 213EP0504X 1901 TX Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 1901 TX
Radiology Podiatrist 213ER0200X 1901 TX
Sports Medicine Podiatrist 213ES0000X 1901 TX
Foot Surgery Podiatrist 213ES0131X 1901 TX

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste K1
Austin, TX 78759-8600

Mailing address

PO Box 91674
Austin, TX 78709-1674
Phone (512) 394-5108

Other identifiers 5

IdentifierTypeStateIssuer
2129181MedicaidTX
0A5634OtherTXGROUP PTAN
P00838858OtherTXMEDICARE RAILROAD
2129157MedicaidTX
DQ3405OtherTXMEDICARE RAILROAD

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
I20100115000211 TX Practitioner - Podiatry 3577605419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluebonnet Foot and Ankle Institute, LLCGroup PAC ID 1355696675, 4 clinicians

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
Suite K1
Austin, TX 78759-8600
Phone (512) 394-5108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue11
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1901TXMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Foot and Ankle Institute, LLC Podiatrist CurrentSince Mar 1, 2019 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC Foot & Ankle Surgery CurrentSince May 1, 2015 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC Primary Podiatric Medicine CurrentSince May 1, 2015 Accepting new patients
Atx Foot & Ankle PLLC Foot & Ankle Surgery PastSince Sep 27, 2016 Accepting new patients
New Braunfels Foot and Ankle Specialists, PLLC Foot & Ankle Surgery PastSince Sep 1, 2009 Accepting new patients

Locations

3921 Steck Ave
Ste A114
Austin, TX 78759
Phone (512) 338-0171

4131 Spicewood Springs Rd
Ste K1
Austin, TX 78759
Phone (512) 346-9299

5625 Eiger Rd
Ste 110
Austin, TX 78735
Phone (512) 447-4122

6633 E Highway 290
Ste 310
Austin, TX 78723
Phone (210) 639-4234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12869/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17766/brand/1/csg/1/fhir/r4
  • Direct secure messaging: liza.chabokrow.1@17766.direct.athenahealth.com

Organizations & group practices 5

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1477733996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91674",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787091674",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE K1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598600",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOKROW",
        "first_name": "LIZA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1901",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "TX",
            "license": "1901",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1901",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "TX",
            "license": "1901",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1901",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129181",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "0A5634",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00838858",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129157",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DQ3405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.