Individual provider Active NPI

Meredith Rawa, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1639580293
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692335 Issued in TX
Practice address
11212 State Highway 151
San Antonio, TX 78251-4427
Phone
(210) 703-8000
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Podiatrist 213ER0200X POD.0000825 CO
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000825 CO
Podiatrist 213E00000X POD.0000825 CO
Public Medicine Podiatrist 213EP0504X POD.0000825 CO
Foot Surgery Podiatrist 213ES0131X POD.0000825 CO
Sports Medicine Podiatrist 213ES0000X POD.0000825 CO
Primary Podiatric Medicine Podiatrist 213EP1101X POD.0000825 CO
Foot & Ankle Surgery Podiatrist 213ES0103X 692335 TX Primary

Addresses

Primary practice location

11212 State Highway 151
San Antonio, TX 78251-4427

Mailing address

5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096

Other practice location 1

7402 John Smith Dr Ste 104
San Antonio, TX 78229-4589
Phone (210) 455-3240

Other practice location 2

1024 S LeMay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000

Other practice location 3

1301 Riverside Ave Ste 1
Fort Collins, CO 80524
Phone (970) 482-3668

Other practice location 4

1100 E Prospect Rd
Fort Collins, CO 80525-5304
Phone (970) 494-4800

Other practice location 5

2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Phone (970) 624-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181020000177 CO Practitioner - Podiatry 9335491265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD.0000825COMDPublic Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot of the Mountains PLLC Podiatrist CurrentSince Jun 1, 2018 Accepting new patients

Locations

1301 Riverside Ave
Ste 1
Fort Collins, CO 80524
Phone (970) 482-3668

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1639580293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514427",
            "telephone_number": "210-703-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7402 John Smith Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294589",
            "country_code": "US",
            "telephone_number": "210-455-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 S LeMay Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243929",
            "country_code": "US",
            "telephone_number": "970-495-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Riverside Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80524",
            "country_code": "US",
            "telephone_number": "970-482-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255304",
            "country_code": "US",
            "telephone_number": "970-494-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Rocky Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389004",
            "country_code": "US",
            "telephone_number": "970-624-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWA",
        "first_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": "POD.0000825",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.