Restore Foot & Ankle Specialists PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

RESTORE FOOT & ANKLE SPECIALISTS PLLC

Practice address

4100 W 15TH St Ste 110
Plano, TX 75093-5826

Phone

(682) 551-7474

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Sirisha Pokala, DPMNPI 1407345721

Title

Podiatric Surgeon

Phone

(682) 551-7474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sirisha Pokala, DPM

  • Podiatrist
  • Plano, TX
  • NPI 1407345721
  Medicare reassignment Care Compare group NPD Authorized official
• Gireesh Reddy, DPM

  • Podiatrist
  • Plano, TX
  • NPI 1366976748
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1841043767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HIGH RIDGE TRL",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762622425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "682-551-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE FOOT & ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "POKALA",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "PODIATRIC SURGEON",
        "authorized_official_telephone_number": "682-551-7474",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Plano, TX
• Providers in Plano, TX by specialty
• Primary Podiatric Medicine Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.