Organization Active NPI

Bayou City Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1710503248
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BAYOU CITY FOOT AND ANKLE LLC
Practice address
6161 Savoy Dr Ste 1238
Houston, TX 77036-3316
Phone
(281) 500-8891
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Abdul-Latif Nurudeen, DPMNPI 1487016655
Title
Owner
Phone
(281) 500-8891

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 SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6161 Savoy Dr Ste 1238
Houston, TX 77036-3316

Mailing address

6161 Savoy Dr Ste 1238
Houston, TX 77036-3316
Phone (281) 500-8891

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200717002168 TX Part B Supplier - Clinic/Group Practice 5799109195 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX
O20200923001924 TX DME Supplier - Physician - Podiatry 5799109195 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2323260Bayou City Foot and Ankle LLC6161 Savoy Dr Suite 1238, Houston, TX 77036Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bayou City Foot and Ankle LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1710503248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 SAVOY DR STE 1238",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363316",
            "telephone_number": "281-500-8891",
            "fax_number": "281-688-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 SAVOY DR STE 1238",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363316",
            "telephone_number": "281-500-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU CITY FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "NURUDEEN",
        "authorized_official_first_name": "ABDUL-LATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-500-8891",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.