Active NPI
Markus Giacomuzzi, DPM
- Podiatrist
- Webster, TX
National Provider Identifier
1720072978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0977
- Practice address
- 250 Blossom St
Ste 100
Webster, TX 77598-4204 - Phone
- (281) 604-1300
- Fax
- (281) 724-0225
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0977 | TX | Primary |
Addresses
Primary practice location
250 Blossom St
Ste 100
Webster, TX 77598-4204
Mailing address
250 Blossom St
Ste 100
Webster, TX 77598-4204
Phone (281) 604-1300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7108032 | Other | TX | AETNA |
| 480035019 | Other | TX | RAILROAD MEDICARE |
| 8F7828 | Other | TX | BCBS |
| 87582Z | Other | TX | HMO BLUE |
| 039451202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1720072978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BLOSSOM ST",
"address_2": "STE 100",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984204",
"telephone_number": "281-604-1300",
"fax_number": "281-724-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BLOSSOM ST",
"address_2": "STE 100",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984204",
"telephone_number": "281-604-1300",
"fax_number": "281-724-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIACOMUZZI",
"first_name": "MARKUS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7108032",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480035019",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F7828",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "87582Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039451202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.