Individual provider Active NPI

Crystal L. Ramanujam, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1861677734
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1887 Issued in TX
Practice address
1303 McCullough Ave Ste 333
San Antonio, TX 78212-5605
Phone
(210) 227-8700
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 1887 TX Primary

Addresses

Primary practice location

1303 McCullough Ave Ste 333
San Antonio, TX 78212-5605

Mailing address

28319 Frank Ter
San Antonio, TX 78260-4479
Phone (281) 685-4333

Other practice location 1

12042 Blanco Rd Ste 310
San Antonio, TX 78216-5438
Phone (210) 341-4183

Other identifiers 1

IdentifierTypeStateIssuer
203738401MedicaidTX

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
I20090723000148 TX Practitioner - Podiatry 1759433667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1887TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2009 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2009 Accepting new patients

Locations

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

8300 Floyd Curl Dr
Fl 3
San Antonio, TX 78229
Phone (210) 450-9300

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: cramanujam16420@direct.utmsa.com

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1861677734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28319 FRANK TER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604479",
            "telephone_number": "281-685-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE STE 333",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125605",
            "telephone_number": "210-227-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12042 Blanco Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782165438",
            "country_code": "US",
            "telephone_number": "210-341-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMANUJAM",
        "first_name": "CRYSTAL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203738401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.