Organization Active NPI

Lone Star Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
National Provider Identifier
1750160461
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LONE STAR FOOT AND ANKLE SPECIALISTS
Practice address
1602 Parkway Blvd
Sugar Land, TX 77478-3425
Phone
(832) 466-5888
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Matthew Ivey, DPMNPI 1316069990
Title
Podiatrist
Phone
(832) 466-8588

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

1602 Parkway Blvd
Sugar Land, TX 77478-3425

Mailing address

1602 Parkway Blvd
Sugar Land, TX 77478-3425
Phone (713) 979-3343

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231106000997 TX Part B Supplier - Clinic/Group Practice 5395192819 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX
O20241017000264 TX DME Supplier - Physician - Podiatry 5395192819 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

1602 Parkway Blvd
Sugar Land, TX 77478
Phone (281) 313-2255

Practitioners & affiliated clinicians

Practitioners 1

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1750160461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PARKWAY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783425",
            "telephone_number": "713-979-3343",
            "fax_number": "855-592-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 PARKWAY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783425",
            "telephone_number": "832-466-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "832-466-8588",
        "authorized_official_name_prefix": "Dr.",
        "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 Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.