Individual provider Active NPI

Renee Kukla Pietzsch, DPM

  • Podiatrist
  • Georgetown, TX
National Provider Identifier
1649209503
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1667 Issued in TX
Practice address
3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864
Phone
(512) 819-4555
Fax
(512) 819-4559
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1667 TX Primary

Addresses

Primary practice location

3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864

Mailing address

3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864
Phone (512) 819-4555

Other identifiers 3

IdentifierTypeStateIssuer
8BD531OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
178091801MedicaidTX
P00479025OtherTXRAILROAD MEDICARE

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
I20040304001349 TX Practitioner - Podiatry 3779471453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Foot Specialist, PAGroup PAC ID 9436209103, 2 clinicians

Practice addresses (Care Compare)

3007 Dawn Dr
Suite 101
Georgetown, TX 78628-2864
Phone (512) 418-4555

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions64
Removal of nail tissue247
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1667TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Foot Specialist PA CurrentSince May 15, 2009 Accepting new patients
Central Texas Foot Specialist PA Podiatrist CurrentSince Jun 1, 2009 Accepting new patients
Wayne a. Hurst, DPM, PA Podiatrist PastSince Feb 1, 2023 Accepting new patients
South Texas Foot Specialist, PA PastSince Mar 5, 2023 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients
Diabetic Foot Center of Tidewater Podiatrist Past Accepting new patients
Tidewater Foot & Ankle Center, PC Podiatrist Past Accepting new patients
J. C. Schoffler, DPM PC PastSince Nov 1, 2002 Accepting new patients
Foot and Ankle Solutions, PLLC Podiatrist PastSince Oct 10, 2017 Accepting new patients

Locations

301 Denali Pass
Ste 1
Cedar Park, TX 78613
Phone (512) 819-4555

3007 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (512) 863-7000

3316 Williams Dr
Ste 120
Georgetown, TX 78628
Phone (512) 418-4555

Interoperability endpoints

  • Direct secure messaging: renee.pietzsch.1@11953.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11953/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1649209503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETZSCH",
        "first_name": "RENEE",
        "middle_name": "KUKLA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8BD531",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178091801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00479025",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.