Individual provider Active NPI

Charles Jason Hubbard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Austin, TX
National Provider Identifier
1609845809
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1625 Issued in TX
Practice address
1015 E 32ND St
Ste 101
Austin, TX 78705-2707
Phone
(512) 477-6341
Fax
(512) 244-1013
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1625 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1625 TX Primary

Addresses

Primary practice location

1015 E 32ND St
Ste 101
Austin, TX 78705-2707

Mailing address

1015 E. 32ND St.
Ste 101
Austin, TX 78705

Other identifiers 2

IdentifierTypeStateIssuer
8H3950OtherTXBCBS OF TEXAS
158150601MedicaidTX

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
I20091207000147 TX Practitioner - Podiatry 2961509542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

16020 Park Valley Dr
Round Rock, TX 78681-3573
Phone (512) 246-4488

Hospital & facility affiliations

  • Northwest Hills Surgical Hospital Hospital, Austin, TX, CCN 450808
  • Ascension Seton Northwest Hospital, Austin, TX, CCN 450867

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of skin lesions1-10
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1625TXMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Mar 21, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Mar 21, 2022 Accepting new patients
Seton Family of Doctors Current Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3707 S 2nd St
Ste 100
Austin, TX 78704
Phone (512) 324-9170

12309 N Mopac Expy
Ste 150
Austin, TX 78758
Phone (512) 324-9170

1401 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 244-0766

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

16020 Park Valley Dr
Round Rock, TX 78681
Phone (512) 244-0766

Interoperability endpoints

  • Direct secure messaging: charles.hubbard.1@8363.direct.athenahealth.com
  • Direct secure messaging: charles.hubbard.1@29905.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1609845809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E. 32ND ST.",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-477-6341",
            "fax_number": "512-244-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1625",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8H3950",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158150601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.