Organization Active NPI

South Texas Foot Institute, P.a.

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1710176243
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1503 Issued in TX
Legal business name
SOUTH TEXAS FOOT INSTITUTE, P.A.
Practice address
7333 Barlite Blvd
Suite 380
San Antonio, TX 78224-1320
Phone
(210) 928-3668
Fax
(210) 572-9290
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Bhavesh J Shah, DPM
Title
President
Phone
(210) 928-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1503 TX Primary

Addresses

Primary practice location

7333 Barlite Blvd
Suite 380
San Antonio, TX 78224-1320

Mailing address

PO Box 40055
San Antonio, TX 78229-1055
Phone (210) 928-3668

Other identifiers 1

IdentifierTypeStateIssuer
1609950-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

610 31st St
Hondo, TX 78861
Phone (210) 222-1077

4143 Gardendale St
San Antonio, TX 78229
Phone (210) 319-9807

4212 E Southcross Blvd
Ste 145
San Antonio, TX 78222
Phone (210) 337-6202

7333 Barlite Blvd
San Antonio, TX 78224
Phone (210) 316-5716

Practitioners & affiliated clinicians

Practitioners 2

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1710176243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40055",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291055",
            "telephone_number": "210-928-3668",
            "fax_number": "210-572-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "SUITE 380",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-928-3668",
            "fax_number": "210-572-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS FOOT INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-928-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609950-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.