Individual provider Active NPI

Edna I Reyes-Guerrero, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pasadena, TX
National Provider Identifier
1821239583
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1943 Issued in TX
Practice address
3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137
Phone
(713) 946-1500
Fax
(713) 946-0200
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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 1943 TX Primary

Addresses

Primary practice location

3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137

Mailing address

3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137
Phone (713) 946-1500

Other identifiers 1

IdentifierTypeStateIssuer
216266101MedicaidTX

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
I20101018001094 TX Practitioner - Podiatry 7810180213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Foot and Ankle PLLCGroup PAC ID 2264851500, 2 clinicians
McKinney Podiatric Associates PAGroup PAC ID 3072540731, 7 clinicians

Practice addresses (Care Compare)

24556 Kingsland Blvd
Katy, TX 77494-3429
Phone (281) 609-8100

3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137
Phone (713) 946-1500

Hospital & facility affiliations

  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue186
Removal of skin lesions31
Removal of nail tissue149
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Podiatric Associates PA Foot & Ankle Surgery CurrentSince Jun 29, 2010 Accepting new patients
McKinney Podiatric Associates PA CurrentSince Jun 4, 2023 Accepting new patients
McKinney Podiatric Associates PA Past Accepting new patients
McKinney Podiatric Associates PA Past Accepting new patients

Locations

3134 S Highway 35
Alvin, TX 77511
Phone (281) 331-2827

11914 Astoria Blvd
Ste 250
Houston, TX 77089
Phone (281) 484-2400

3692 E Sam Houston Pkwy S
Ste 100
Pasadena, TX 77505
Phone (713) 946-1500

8633 Broadway St
Ste 117
Pearland, TX 77584
Phone (281) 485-2988

Organizations & group practices 5

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 1

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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1821239583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053137",
            "telephone_number": "713-946-1500",
            "fax_number": "713-946-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053137",
            "telephone_number": "713-946-1500",
            "fax_number": "713-946-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-GUERRERO",
        "first_name": "EDNA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216266101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.