Organization Active NPI

Foot and Ankle Centers of Texas, PA

  • Foot & Ankle Surgery Podiatrist
  • League City, TX
National Provider Identifier
1609911692
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE CENTERS OF TEXAS, PA
Practice address
1108 Gulf Fwy S Ste 106
League City, TX 77573-5100
Phone
(281) 554-0111
Fax
(281) 332-1787
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dr. Sean Aziz Reyhani, D.P.M.NPI 1033168711
Title
President
Phone
(281) 554-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X TX Primary

Addresses

Primary practice location

1108 Gulf Fwy S Ste 106
League City, TX 77573-5100

Mailing address

PO Box 57310
Webster, TX 77598-7310
Phone (281) 554-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000637 TX Part B Supplier - Clinic/Group Practice 4587759600 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Webster, TX; Pasadena, TX; League City, TX; Texas City, TX

National Provider Directory

National Provider Directory

Locations

1108 Gulf Fwy S
Ste 106
League City, TX 77573
Phone (281) 554-0111

1100 Gulf Fwy S
Ste 106
League City, TX 77573
Phone (281) 554-0111

500 N Kobayashi
Ste B
Webster, TX 77598

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1609911692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57310",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987310",
            "telephone_number": "281-554-0111",
            "fax_number": "281-332-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GULF FWY S STE 106",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735100",
            "telephone_number": "281-554-0111",
            "fax_number": "281-332-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTERS OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "REYHANI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-554-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.