Organization Active NPI

Randy Lew, DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Burleson, TX
National Provider Identifier
1770618217
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1495 Issued in TX
Legal business name
RANDY LEW, DPM, PA
Practice address
11807 South Fwy
Suite 361
Burleson, TX 76028-7005
Phone
(817) 615-8110
Fax
(817) 615-8099
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Randy Michael Lew, DPMNPI 1528025277
Title
President
Phone
(817) 615-8110

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 1495 TX Primary

Addresses

Primary practice location

11807 South Fwy
Suite 361
Burleson, TX 76028-7005

Mailing address

11807 South Fwy
Suite 361
Burleson, TX 76028-7005
Phone (817) 615-8110

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040826001015 TX Part B Supplier - Clinic/Group Practice 6507831286 Receives reassigned benefits from 1 practitioner
Practice locations: Burleson, TX
O20100930069821 TX DME Supplier - Physician - Podiatry 6507831286 Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

11807 South Fwy
Burleson, TX 76028
Phone (817) 551-0445

11807 South Fwy
Ste 361
Burleson, TX 76028
Phone (817) 293-3300

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1770618217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FWY",
            "address_2": "SUITE 361",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287005",
            "telephone_number": "817-615-8110",
            "fax_number": "817-615-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FWY",
            "address_2": "SUITE 361",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287005",
            "telephone_number": "817-615-8110",
            "fax_number": "817-615-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY LEW, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-615-8110",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.