Individual provider Active NPI

Clifford M. Bliss, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grapevine, TX
National Provider Identifier
1649606377
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2221 Issued in TX
Practice address
2421 Ira E Woods Ave
100
Grapevine, TX 76051-3906
Phone
(817) 416-6155
Fax
(817) 329-9434
NPI assigned
Sep 26, 2013
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 2221 TX Primary

Addresses

Primary practice location

2421 Ira E Woods Ave
100
Grapevine, TX 76051-3906

Mailing address

2421 Ira E Woods Ave
100
Grapevine, TX 76051-3906
Phone (817) 416-6155

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
I20160531001156 TX Practitioner - Podiatry 8921398108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2421 Ira E Woods Ave
Suite 100
Grapevine, TX 76051-3907
Phone (817) 416-6155

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as individual
Quality
69.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue51
Removal of skin lesions43
Removal of nail tissue114
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2221TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jun 1, 2016 Accepting new patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jun 1, 2016 Accepting new patients

Locations

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 416-6155

816 Keller Pkwy
#101
Keller, TX 76248
Phone (817) 416-6155

Interoperability endpoints

  • Direct secure messaging: clifford.bliss@faaaontl-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1649606377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513906",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513906",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "CLIFFORD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.