Organization Active NPI

Keller Foot and Ankle Associates, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Keller, TX
National Provider Identifier
1891011664
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1860 Issued in TX
Legal business name
KELLER FOOT AND ANKLE ASSOCIATES, P.A.
Practice address
226 N Main St
Keller, TX 76248-4433
Phone
(817) 337-2576
Fax
(817) 562-4606
NPI assigned
Apr 19, 2010
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Hernan Jose Alamilla, D.P.M.NPI 1245244185
Title
President
Phone
(817) 337-2576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1860 TX Primary

Addresses

Primary practice location

226 N Main St
Keller, TX 76248-4433

Mailing address

226 N Main St
Keller, TX 76248-4433
Phone (817) 337-2576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100813000551 TX Part B Supplier - Clinic/Group Practice 0840324729 Receives reassigned benefits from 1 practitioner
Practice locations: Keller, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1891011664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484433",
            "telephone_number": "817-337-2576",
            "fax_number": "817-562-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484433",
            "telephone_number": "817-337-2576",
            "fax_number": "817-562-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER FOOT AND ANKLE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "ALAMILLA",
        "authorized_official_first_name": "HERNAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-337-2576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.