Organization Active NPI

Jra Foot and Ankle Center PLLC

  • Podiatrist
  • Shenandoah, TX
National Provider Identifier
1598447088
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JRA FOOT AND ANKLE CENTER PLLC
Practice address
118 Shenandoah Dr Ste a
Shenandoah, TX 77381-1203
Phone
(936) 900-9499
NPI assigned
Aug 3, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Arvinder Singh
Title
Office Manger
Phone
(732) 929-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

118 Shenandoah Dr Ste a
Shenandoah, TX 77381-1203

Mailing address

118 Shenandoah Dr Ste a
Shenandoah, TX 77381-1203
Phone (936) 900-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230912003808 TX Part B Supplier - Clinic/Group Practice 7315301363 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

118 Shenandoah Dr
Shenandoah, TX 77381
Phone (346) 786-9073

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1598447088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHENANDOAH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773811203",
            "telephone_number": "936-900-9499",
            "fax_number": "877-440-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SHENANDOAH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773811203",
            "telephone_number": "936-900-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRA FOOT AND ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "732-929-7270"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.