Sharada D Penugonda, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1626 Issued in TX

Practice address

5656 Bee Caves Rd
D204
West Lake Hills, TX 78746-5280

Phone

(512) 327-9251

Fax

(512) 327-9742

NPI assigned

Sep 20, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1598862666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-327-9251",
            "fax_number": "512-327-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-327-9251",
            "fax_number": "512-327-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUGONDA",
        "first_name": "SHARADA",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183566201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00AP45",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daniel Philbrick

• Podiatrist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.