Individual provider Active NPI

Russell Stanley, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1639336746
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1853 Issued in TX
Practice address
8122 Datapoint Dr Ste 700
San Antonio, TX 78229-3444
Phone
(210) 899-1026
Fax
(210) 692-0805
NPI assigned
May 18, 2008
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1853 TX Primary

Addresses

Primary practice location

8122 Datapoint Dr Ste 700
San Antonio, TX 78229-3444

Mailing address

12450 Network Blvd Ste 103
San Antonio, TX 78249-3466
Phone (210) 899-1026

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
I20090115000470 TX Practitioner - Podiatry 7618030784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8122 Datapoint Dr
Suite 720
San Antonio, TX 78229-3479
Phone (210) 899-1026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
56.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of nail tissue180
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Podiatry Associates PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2008 Accepting new patients
San Antonio Podiatry Associates, PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2008 Accepting new patients

Locations

12450 Network Blvd
Ste 103
San Antonio, TX 78249

14615 San Pedro Ave
Ste 160
San Antonio, TX 78232
Phone (210) 337-6600

8042 Wurzbach Rd
Ste 450
San Antonio, TX 78229
Phone (210) 692-0279

8122 Datapoint Dr
Ste 720
San Antonio, TX 78229
Phone (210) 761-2185

Interoperability endpoints

  • Direct secure messaging: russell.stanley@1333.chartlogic.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1639336746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 NETWORK BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493466",
            "telephone_number": "210-899-1026",
            "fax_number": "210-314-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293444",
            "telephone_number": "210-899-1026",
            "fax_number": "210-692-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RUSSELL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.