Individual provider Active NPI

John Ellis Marshall IV

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1518596048
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692114 Issued in TX
Practice address
7200 Wyoming Springs Dr Ste 1150
Round Rock, TX 78681-4310
Phone
(512) 255-0125
NPI assigned
Apr 6, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 692114 TX Primary

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 1150
Round Rock, TX 78681-4310

Mailing address

P.O. Box 675204
Dallas, TX 75267-5204
Phone (512) 255-0125

Other practice location 1

201 E Wilco Hwy Ste 104
Hutto, TX 78634-4549
Phone (512) 255-0125

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
I20240703003236 TX Practitioner - Podiatry 3476097262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Podiatry PCGroup PAC ID 9537142492, 5 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1150
Round Rock, TX 78681-4310
Phone (512) 255-0125

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue77
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Podiatry PC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

201 E Wilco Hwy
Ste 104
Hutto, TX 78634
Phone (512) 255-0125

7200 Wyoming Springs Dr
Ste 1150
Round Rock, TX 78681
Phone (512) 255-0125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17676/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1518596048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 675204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752675204",
            "telephone_number": "512-255-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814310",
            "telephone_number": "512-255-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Wilco Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786344549",
            "country_code": "US",
            "telephone_number": "512-255-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JOHN",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.