Individual provider Active NPI

Douglas J Grimm, DPM

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1548293491
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1514 Issued in TX
Practice address
7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4068
Phone
(512) 733-8600
Fax
(512) 733-8602
NPI assigned
Jul 7, 2006
Last updated
May 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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 1514 TX Primary

Addresses

Primary practice location

7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4068

Mailing address

7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4068
Phone (512) 733-8600

Other identifiers 2

IdentifierTypeStateIssuer
8A2740OtherTXBLUECROSS/BLUESHIELD
038430701MedicaidTX

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
I20100830000829 TX Practitioner - Podiatry 5294813747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Associates of Central Texas, LLCGroup PAC ID 9931287489, 2 clinicians

Practice addresses (Care Compare)

7700 Cat Hollow Dr
Suite 102
Round Rock, TX 78681-5797
Phone (512) 733-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue88
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Associates of Central Texas, LLC Foot & Ankle Surgery CurrentSince Aug 15, 2000 Accepting new patients

Locations

1310 Ranch Road 620 S
Ste A14
Lakeway, TX 78734
Phone (512) 733-8600

7700 Cat Hollow Dr
Ste 102
Round Rock, TX 78681
Phone (512) 733-8600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1548293491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DRIVE",
            "address_2": "SUITE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DRIVE",
            "address_2": "SUITE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "8A2740",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038430701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.