Individual provider Active NPI

Samantha Maxine Ralstin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mesquite, TX
National Provider Identifier
1679033062
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692130 Issued in TX
Practice address
1320 N Galloway Ave Ste 105
Mesquite, TX 75149-2461
Phone
(214) 550-2099
NPI assigned
Mar 21, 2019
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 2086 NV
Foot & Ankle Surgery Podiatrist 213ES0103X 692130 TX Primary

Addresses

Primary practice location

1320 N Galloway Ave Ste 105
Mesquite, TX 75149-2461

Mailing address

4700 McKinney Ave Apt 445
Dallas, TX 75205-3560
Phone (805) 240-6655

Other practice location 1

973 Mica Dr Ste 201
Carson City, NV 89705-7258
Phone (775) 783-6190

Other practice location 2

10539 Professional Cir Ste 201
Reno, NV 89521-3858
Phone (775) 783-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721003648 NV Practitioner - Podiatry 5092196071 Reassigns benefits to 1 organization
I20240817000649 TX Practitioner - Podiatry 5092196071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Motion Foot and Ankle Institute PLLCGroup PAC ID 2860876596, 4 clinicians

Practice addresses (Care Compare)

1320 N Galloway Ave
Suite 105
Mesquite, TX 75149-2461
Phone (972) 853-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue46
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Foot & Ankle Institute, PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
James J Lynch MD LTD CurrentSince Sep 1, 2022 Accepting new patients
James J Lynch M D LTD CurrentSince Sep 1, 2022 Accepting new patients

Locations

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632

5310 Kietzke Ln
Ste 104
Reno, NV 89511

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (605) 999-7267

1320 N Galloway Ave
Ste 105
Mesquite, TX 75149
Phone (214) 550-2099

Organizations & group practices 3

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.

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1679033062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MCKINNEY AVE APT 445",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053560",
            "telephone_number": "805-240-6655",
            "fax_number": "214-550-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "214-550-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "973 Mica Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057258",
            "country_code": "US",
            "telephone_number": "775-783-6190",
            "fax_number": "775-348-8818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10539 Professional Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213858",
            "country_code": "US",
            "telephone_number": "775-783-6190",
            "fax_number": "775-348-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTIN",
        "first_name": "SAMANTHA",
        "middle_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "2086",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.