Individual provider Active NPI

Francis F Derk, D.P.M

  • Podiatrist
  • Kerrville, TX
National Provider Identifier
1831119361
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1129 Issued in TX
Practice address
3600 Memorial Blvd
Kerrville, TX 78028-5768
Phone
(830) 792-2660
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1129 TX Primary

Addresses

Primary practice location

3600 Memorial Blvd
Kerrville, TX 78028-5768

Mailing address

3026 Hillcrest Dr
San Antonio, TX 78201-7006
Phone (210) 520-2312

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
I20181211003586 TX Practitioner - Podiatry 4789928110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard C Adam DPM PAGroup PAC ID 6103915236, 2 clinicians

Practice addresses (Care Compare)

3026 Hillcrest Dr
San Antonio, TX 78201-7006
Phone (210) 616-0871

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1129TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C Adam DPM PA Podiatrist CurrentSince Dec 1, 2018 Accepting new patients
Texas Premier Physical Therapy, LLC PastSince Dec 1, 2018 Accepting new patients

Locations

3026 Hillcrest Dr
San Antonio, TX 78201
Phone (210) 277-8787

3026 Hillcrest Dr
Ste 100
San Antonio, TX 78201

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1831119361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 HILLCREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782017006",
            "telephone_number": "210-520-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285768",
            "telephone_number": "830-792-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERK",
        "first_name": "FRANCIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.