Individual provider Active NPI

Kim Le Dao, DPM

  • Podiatrist
  • Austin, TX
National Provider Identifier
1750722997
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2239 Issued in TX
Practice address
5625 Eiger Rd
Ste 110
Austin, TX 78735-8978
Phone
(512) 447-4122
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2239 TX Primary

Addresses

Primary practice location

5625 Eiger Rd
Ste 110
Austin, TX 78735-8978

Mailing address

5625 Eiger Rd
Ste 110
Austin, TX 78735-8978
Phone (512) 447-4122

Other identifiers 1

IdentifierTypeStateIssuer
363000601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829001918 TX Practitioner - Podiatry 3678868767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Podiatry House Calls PLLCGroup PAC ID 3779995337, 3 clinicians
Bluebonnet Foot and Ankle Institute, LLCGroup PAC ID 1355696675, 4 clinicians

Practice addresses (Care Compare)

Austin, TX 78723
Phone (737) 231-1087

4131 Spicewood Springs Rd
Suite K1
Austin, TX 78759-8600
Phone (512) 394-5108

Merit-based Incentive Payment System (MIPS)

Final score
47.64 of 100Reported as individual
Quality
50.26
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of nail tissue831
Removal or shaving of skin growth449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2239TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Foot and Ankle Institute, LLC Podiatrist CurrentSince Jan 1, 2026 Accepting new patients
Austin Podiatry House Calls PLLC Podiatrist CurrentSince Jan 1, 2024 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC CurrentSince Jul 23, 2016 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC CurrentSince Jul 23, 2016 Accepting new patients

Locations

5625 Eiger Rd
Ste 110
Austin, TX 78735
Phone (512) 447-4122

6633 E Highway 290
Ste 310
Austin, TX 78723
Phone (210) 639-4234

4131 Spicewood Springs Rd
Ste K1
Austin, TX 78759
Phone (512) 346-9299

5900 Balcones Dr
Austin, TX 78731
Phone (281) 391-1188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17766/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23047/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1750722997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD",
            "address_2": "STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978",
            "telephone_number": "512-447-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD",
            "address_2": "STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978",
            "telephone_number": "512-447-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "KIM",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363000601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.