NPIMap

Individual provider Active NPI

Matthew Babich, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1659436632
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1754 Issued in TX
Practice address
12610 E Northwest Hwy
Dallas, TX 75228
Phone
(469) 441-4484
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 1754 TX Primary

Addresses

Primary practice location

12610 E Northwest Hwy
Dallas, TX 75228

Mailing address

1151 N Buckner Blvd
Ste 201
Dallas, TX 75218-3400
Phone (214) 660-0777

Other practice location 1

1151 N Buckner Blvd Ste 304
Professional BLDG. 1
Dallas, TX 75218-3405
Phone (214) 398-1234

Other practice location 2

12610 E Northwest Hwy
Dallas, TX 75228
Phone (469) 441-4484

Other practice location 3

12601 E Northwest Hwy
Dallas, TX 75228
Phone (469) 441-4484

Other identifiers 2

IdentifierTypeStateIssuer
176120701MedicaidTX
P00697605OtherTXRAIL ROAD MEDICARE INDIVIDUAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000979 TX Practitioner - Podiatry 8628094562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Medical Partners of Texas PA 18 clinicians

Practice addresses (Care Compare)

1151 N Buckner Blvd
Suite 305
Dallas, TX 75218-3405
Phone (214) 337-8949

6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246
Phone (214) 340-8885

Hospital & facility affiliations

  • Acceptance Home Health, LLC Home health agency, Dallas, TX, CCN 747995
  • Dallas Medical Center Hospital, Dallas, TX, CCN 450379
  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue401
Removal of nail tissue206
Removal or shaving of skin growth112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1754TXMDFoot & Ankle Surgery Podiatrist

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1659436632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183400",
            "telephone_number": "214-660-0777",
            "fax_number": "877-631-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 E NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "469-441-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 N Buckner Blvd Ste 304",
            "address_2": "PROFESSIONAL BLDG. 1",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752183405",
            "country_code": "US",
            "telephone_number": "214-398-1234",
            "fax_number": "214-398-1386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12610 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75228",
            "country_code": "US",
            "telephone_number": "469-441-4484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12601 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "country_code": "US",
            "telephone_number": "469-441-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABICH",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176120701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE INDIVIDUAL PROVIDER #",
            "identifier": "P00697605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.