Individual provider Active NPI

Patrick L Corrigan, DPM

  • Foot Surgery Podiatrist
  • Lakeway, TX
National Provider Identifier
1598867640
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1872 Issued in TX
Practice address
900 Ranch Road 620 S
Suite C207
Lakeway, TX 78734-5615
Phone
(512) 263-8655
Fax
(512) 263-0346
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4097 CA
Foot Surgery Podiatrist 213ES0131X 1872 TX Primary

Addresses

Primary practice location

900 Ranch Road 620 S
Suite C207
Lakeway, TX 78734-5615

Mailing address

900 Ranch Road 620 S
Suite C207
Lakeway, TX 78734-5615
Phone (512) 263-8655

Other identifiers 1

IdentifierTypeStateIssuer
00E4097MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000152 TX Practitioner - PodiatryPractitioner - Sports Medicine 0648370940 Practice locations: Lakeway, TX

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Ranch Rd 620
C207
Lakeway, TX 78734-5625

900 RR 620
Suite C207
Lakeway, TX 78734-5625
Phone (512) 263-8655

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4097CAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1598867640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RANCH ROAD 620 S",
            "address_2": "SUITE C207",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345615",
            "telephone_number": "512-263-8655",
            "fax_number": "512-263-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RANCH ROAD 620 S",
            "address_2": "SUITE C207",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345615",
            "telephone_number": "512-263-8655",
            "fax_number": "512-263-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "PATRICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4097",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E4097",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.