Organization Active NPI

Central Texas Foot Specialist PA

  • Podiatrist
  • Georgetown, TX
National Provider Identifier
1689818684
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1667 Issued in TX
Legal business name
CENTRAL TEXAS FOOT SPECIALIST PA
Practice address
3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864
Phone
(512) 819-4555
Fax
(512) 819-4559
NPI assigned
Apr 22, 2009
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Renee Kukla Pietzsch, DPMNPI 1649209503
Title
President
Phone
(512) 819-4555

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1667 TX Primary

Addresses

Primary practice location

3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864

Mailing address

3007 Dawn Dr Ste 101
Georgetown, TX 78628-2864
Phone (512) 819-4555

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090618000449 TX Part B Supplier - Clinic/Group Practice 9436209103 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Georgetown, TX
O20100930020925 TX DME Supplier - Physician - Podiatry 9436209103 Practice locations: Georgetown, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11953/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1689818684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-819-4555",
            "fax_number": "512-819-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS FOOT SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "PIETZSCH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "KUKLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-819-4555",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.