Individual provider Active NPI

Cece S Honculada, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1831611656
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3034 Issued in TX
Practice address
3601 S 6TH Ave
Tucson, AZ 85723-0001
Phone
(520) 792-1450
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X
Foot & Ankle Surgery Podiatrist 213ES0103X 3034 TX Primary

Addresses

Primary practice location

3601 S 6TH Ave
Tucson, AZ 85723-0001

Mailing address

9191 Pinecroft Dr Ste 100
Shenandoah, TX 77380-2797
Phone (281) 909-7722

Other names 1

  • Dr. Cece Pascuala S Honculada Other name

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
I20201021002148 TX Practitioner - Podiatry 8921428459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

7575 San Felipe St
Suite 301
Houston, TX 77063-1780
Phone (281) 909-7722

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of nail tissue1004
Removal or shaving of skin growth419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3034TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC CurrentSince Jul 10, 2020 Accepting new patients
Fas of TW LLC Foot & Ankle Surgery CurrentSince Jan 22, 2025 Accepting new patients
MBV PLLC Foot & Ankle Surgery CurrentSince Jul 10, 2020 Accepting new patients

Locations

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

9701 N Sam Houston Pkwy E
Ste 150
Humble, TX 77396
Phone (281) 973-5237

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

227 State Highway 75 N
Ste 150
Huntsville, TX 77320

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

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

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: alleviotexas.cecehonculada@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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1831611656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802797",
            "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": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONCULADA",
        "first_name": "CECE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECE PASCUALA",
            "last_name": "HONCULADA",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.