Individual provider Active NPI

Clayton Ross Toole, DPM

  • Podiatrist
  • Shenandoah, TX
National Provider Identifier
1750764213
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2326 Issued in TX
Practice address
9191 Pinecroft Dr Ste 225
Shenandoah, TX 77380
Phone
(281) 909-7722
Fax
(281) 909-7733
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P97798 NY
Podiatrist 213E00000X 2326 TX Primary

Addresses

Primary practice location

9191 Pinecroft Dr Ste 225
Shenandoah, TX 77380

Mailing address

9191 Pinecroft Dr Ste 225
Shenandoah, TX 77380-2807
Phone (281) 909-7722

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
I20180621002245 TX Practitioner - Podiatry 1456606094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

227 State Hwy 75 N
Huntsville, TX 77320-3171
Phone (281) 909-7722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of skin lesions1-10
Removal of nail tissue759
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P97798NYMDPodiatrist
2326TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC Podiatrist CurrentSince Jul 1, 2018 Accepting new patients
Fas of TW LLC CurrentSince Jan 22, 2025 Accepting new patients
MBV PLLC Podiatrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

7575 San Felipe St
Ste 301
Houston, TX 77063
Phone (346) 597-7161

227 State Highway 75 N
Ste 150
Huntsville, TX 77320

227 State Highway 75 N
Huntsville, TX 77320
Phone (936) 500-8385

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

9191 Pinecroft Dr
Ste 225
Shenandoah, TX 77380
Phone (281) 404-3666

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • Direct secure messaging: drtoole@faasotw-tx.direct.office.nextgen.com
  • Direct secure messaging: alleviotexas.claytontoole@161097.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1750764213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 225",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802807",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 225",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "CLAYTON",
        "middle_name": "ROSS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "P97798",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.