Robert Daniel Phelps, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1636 Issued in TX

Practice address

1828 E Southeast Loop 323 Ste 111
Tyler, TX 75701-8314

Phone

(903) 593-0987

Fax

(903) 592-3309

NPI assigned

Sep 19, 2005

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Podiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDHGDD/Endpoint/IDHGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foot Clinic of East Texas PC

  • Podiatrist
  • Tyler, TX
  • NPI 1184688566
  Medicare reassignment NPD Authorized official
• Foot Clinic of East Texas, PC

  • Podiatrist
  • Canton, TX
  • NPI 1457681785
  NPD Authorized official

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1881689560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E SOUTHEAST LOOP 323 STE 111",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018314",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E SOUTHEAST LOOP 323 STE 111",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018314",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 S Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751032304",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00040744",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1636",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156579802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmscript of Texas, LLC (Pharmscript of Texas North)
• Phats Extension Bar & Makeup Studio LLC
• PHCS I Inc (Premier Health Care Services I)
• PHCS IV, Inc. (Premier Healthcare Services-Lakeside)
• Daniel Hubbard Phelps, DPM
• Janna Tracy Phifer, RD, LDN
• Andrew Philley, D.D.S.
• Julie V Philley, MD
• Alysha Phillips
• Amber Phillips

• Podiatrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.