Individual provider Active NPI

Michael Wayne Downey, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Southlake, TX
National Provider Identifier
1932467396
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2157 Issued in TX
Practice address
245 West State Highway 114
Suite 300
Southlake, TX 76092
Phone
(972) 438-4636
Fax
(682) 477-4314
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2157 TX Primary

Addresses

Primary practice location

245 West State Highway 114
Suite 300
Southlake, TX 76092

Mailing address

245 West State Highway 114
Suite 300
Southlake, TX 76092
Phone (972) 438-4636

Other practice location 1

800 12th Ave Ste 200
Fort Worth, TX 76104-2519
Phone (972) 438-4636

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
I20160630000404 TX Practitioner - Podiatry 5890004402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 4183672652, 13 clinicians

Practice addresses (Care Compare)

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2260
Phone 97243846361117

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics & Sports Medicine CurrentSince Jun 1, 2021 Accepting new patients
Precision Orthopedics & Sports Medicine CurrentSince Jun 1, 2021 Accepting new patients
Trinity Foot & Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

5801 Oakbend Trl
Ste 140
Ft Worth, TX 76132
Phone (817) 346-7481

800 12th Ave
Ste 200
Ft Worth, TX 76104
Phone (214) 631-9881

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

Organizations & group practices 3

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 2

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1932467396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WEST STATE HIGHWAY 114",
            "address_2": "SUITE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "972-438-4636",
            "fax_number": "682-477-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WEST STATE HIGHWAY 114",
            "address_2": "SUITE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "972-438-4636",
            "fax_number": "682-477-4314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 12th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042519",
            "country_code": "US",
            "telephone_number": "972-438-4636",
            "fax_number": "682-477-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.