Individual provider Active NPI

David S. Bastawros, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
National Provider Identifier
1770588634
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1459 Issued in TX
Practice address
4716 Alliance Blvd Ste 150
Plano, TX 75093-5372
Phone
(469) 814-3630
Fax
(469) 814-3635
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1459 TX Primary

Addresses

Primary practice location

4716 Alliance Blvd Ste 150
Plano, TX 75093-5372

Mailing address

PO Box 261126
Plano, TX 75026-1126
Phone (972) 491-3000

Other identifiers 1

IdentifierTypeStateIssuer
P00665455OtherTXMEDICARE RAILROAD

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
I20100830000032 TX Practitioner - Podiatry 2365414034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4716 Alliance Blvd
Suite 300
Plano, TX 75093-5314
Phone (972) 491-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue266
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1459TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David S Bastawros DPM PA Foot & Ankle Surgery CurrentSince Jan 28, 2000 Accepting new patients

Locations

4716 Alliance Blvd
Ste 300
Plano, TX 75093
Phone (469) 744-4433

4708 Alliance Blvd
Ste 750
Plano, TX 75093
Phone 97222260505

4716 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (214) 564-0947

399 W Campbell Rd
Ste 412
Richardson, TX 75080
Phone (972) 669-1454

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.

Hospital & facility affiliations 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1770588634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261126",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750261126",
            "telephone_number": "972-491-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935372",
            "telephone_number": "469-814-3630",
            "fax_number": "469-814-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTAWROS",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00665455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.