NPIMap

Organization Active NPI

Fusion Foot and Ankle, PLLC

Doing business as Fusion Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
National Provider Identifier
1659865806
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FUSION FOOT AND ANKLE, PLLC
Doing business as
Fusion Foot and Ankle
Practice address
8036 Camp Bowie West Blvd
Fort Worth, TX 76116-6313
Phone
(817) 494-0566
Fax
(817) 612-3157
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Moody M Mankerious, DPMNPI 1093158578
Title
Owner
Phone
(817) 494-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

8036 Camp Bowie West Blvd
Fort Worth, TX 76116-6313

Mailing address

8036 Camp Bowie West Blvd
Fort Worth, TX 76116-6313
Phone (817) 494-0566

Other practice location 1

801 Road To Six Flags W Ste 147
Arlington, TX 76012-2600
Phone (817) 860-9121

Other names 1

  • Fusion Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190417000587 TX Part B Supplier - Clinic/Group Practice 5597006783 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, TX; Fort Worth, TX
O20200625002725 TX DME Supplier - Physician - Podiatry 5597006783 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

8751 Camp Bowie West Blvd
Ste 123
Ft Worth, TX 76116
Phone (817) 244-7121

8036 Camp Bowie West Blvd
Ft Worth, TX 76116
Phone (817) 494-0566

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1659865806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 CAMP BOWIE WEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166313",
            "telephone_number": "817-494-0566",
            "fax_number": "817-612-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 CAMP BOWIE WEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166313",
            "telephone_number": "817-494-0566",
            "fax_number": "817-612-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Road To Six Flags W Ste 147",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760122600",
            "country_code": "US",
            "telephone_number": "817-860-9121",
            "fax_number": "817-612-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSION FOOT AND ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MANKERIOUS",
        "authorized_official_first_name": "MOODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-494-0566",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.