Active NPI
Eideh D. Atway, D.P.M.
- Podiatrist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2012
- Practice address
- 1245 Falcon Dr
Grapevine, TX 76051-1117 - Phone
- (805) 836-2867
- Fax
- (214) 540-8547
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2012 | TX | Primary |
Addresses
Primary practice location
1245 Falcon Dr
Grapevine, TX 76051-1117
Mailing address
1245 Falcon Dr
Grapevine, TX 76051-1117
Phone (805) 836-2867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1245 Falcon Dr
Grapevine, TX 76051-1117
Phone (805) 836-2867
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 427 |
| Removal of nail tissue | 582 |
| Removal or shaving of skin growth | 425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Biologics LLC | Current | Accepting new patients | |
| Back Office Management Services LLC | Podiatrist | Current | Accepting new patients |
| Deformity Reconstruction Specialists PLLC | Podiatrist | Current | Accepting new patients |
| Back Office Management Services LLC | Podiatrist | Current | Accepting new patients |
| Back Office Management Services LLC | Podiatrist | Current | Accepting new patients |
Locations
820 Durham Rd
Newtown, PA 18940
Phone (215) 589-7181
500 W Hospital St
Taylor, PA 18517
Phone (570) 483-8450
2100 W Colorado Blvd
Dallas, TX 75211
Phone (214) 865-9968
210 W Wall St
Grapevine, TX 76051
Phone (757) 354-6641
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
Organizations & group practices 5
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.
-
- Podiatrist
- Grapevine, TX
- NPI 1316482904
-
- Podiatrist
- Balch Springs, TX
- NPI 1265739973
-
- Podiatrist
- Pittsburgh, PA
- NPI 1649506684
-
- Podiatrist
- Berea, KY
- NPI 1336652585
-
- Specialist
- Mount Juliet, TN
- NPI 1033890876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1922367663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 FALCON DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511117",
"telephone_number": "805-836-2867",
"fax_number": "214-540-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 FALCON DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511117",
"telephone_number": "805-836-2867",
"fax_number": "214-540-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWAY",
"first_name": "EIDEH",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.