Individual provider Active NPI

Jeff Spoede Henke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kyle, TX
National Provider Identifier
1871539007
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1769 Issued in TX
Practice address
135 Bunton Creek Rd Ste 300
Kyle, TX 78640-5701
Phone
(512) 268-3668
Fax
(512) 268-5785
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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 1769 TX Primary

Addresses

Primary practice location

135 Bunton Creek Rd Ste 300
Kyle, TX 78640-5701

Mailing address

135 Bunton Creek Rd Ste 300
Kyle, TX 78640-5701
Phone (512) 268-3668

Other identifiers 1

IdentifierTypeStateIssuer
182589504MedicaidTX

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
I20060929000095 TX Practitioner - Podiatry 0941205710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Foot and Ankle Surgical Associates PLLCGroup PAC ID 0446539449, 2 clinicians

Practice addresses (Care Compare)

135 Bunton Creek Rd
Suite 300
Kyle, TX 78640-5701
Phone (512) 268-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of nail tissue857
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1769TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Foot and Ankle Surgical Associates, PLLC Foot & Ankle Surgery Current Accepting new patients
Hays Foot and Ankle Surgical Associates, PLLC Foot & Ankle Surgery CurrentSince Sep 28, 2016 Accepting new patients
Podiatry Associates of Victoria PA Foot & Ankle Surgery PastSince Apr 1, 1999 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

135 Bunton Creek Rd
Ste 300
Kyle, TX 78640
Phone (512) 268-3668

515 E Court St
Ste 300
Seguin, TX 78155
Phone (830) 372-0307

Organizations & group practices 4

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 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1871539007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-3668",
            "fax_number": "512-268-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-3668",
            "fax_number": "512-268-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "JEFF",
        "middle_name": "SPOEDE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182589504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.