Individual provider Active NPI

Niccale Tenika Alibin

  • Podiatrist
  • Jourdanton, TX
National Provider Identifier
1659860823
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3083 Issued in TX
Practice address
180 County Road 300
Jourdanton, TX 78026-5216
Phone
(847) 790-3618
NPI assigned
May 3, 2018
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3083 TX Primary

Addresses

Primary practice location

180 County Road 300
Jourdanton, TX 78026-5216

Mailing address

168 N Clinton St FL 3
Chicago, IL 60661-1419
Phone (847) 502-4898

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
I20210708000975 TX Practitioner - Podiatry 8426450875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western University of Health Sciences College of Dental Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1424 W Price Rd
Suite A2
Brownsville, TX 78520-8672
Phone (956) 617-0139

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue110
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Stepping Stone Podiatry Enterprise PLLC Podiatrist CurrentSince Jun 12, 2024 Accepting new patients
Healthy Minds, Body, and Feet Center PLLC CurrentSince Jun 12, 2024 Accepting new patients

Locations

168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

1424 W Price Rd
Ste A2
Brownsville, TX 78520
Phone (956) 617-0139

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

1 Heartland Dr
San Antonio, TX 78247
Phone (210) 510-3200

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

109 N McKinney St
Sweeny, TX 77480
Phone (409) 548-3383

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1659860823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N CLINTON ST FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611419",
            "telephone_number": "847-502-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COUNTY ROAD 300",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780265216",
            "telephone_number": "847-790-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIBIN",
        "first_name": "NICCALE",
        "middle_name": "TENIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jourdanton, TX

Sources for this page

Verify at the official NPI Registry.