Individual provider Active NPI

Marc Joseph Delara, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Bedford, TX
National Provider Identifier
1952728305
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2291 Issued in TX
Practice address
1604 Hospital Pkwy
Ste 309
Bedford, TX 76022-6931
Phone
(817) 793-3422
NPI assigned
Mar 24, 2014
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 2291 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy
Ste 309
Bedford, TX 76022-6931

Mailing address

1604 Hospital Pkwy Ste 309
Bedford, TX 76022-6931
Phone (817) 793-3422

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
I20171010002162 TX Practitioner - Podiatry 1052538790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1604 Hospital Pkwy
Suite 309
Bedford, TX 76022-6931
Phone (817) 928-3231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delara Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Aug 13, 2020 Accepting new patients

Locations

1604 Hospital Pkwy
Ste 309
Bedford, TX 76022
Phone (817) 283-5151

Organizations & group practices 1

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.

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1952728305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226931",
            "telephone_number": "817-793-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "address_2": "STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226931",
            "telephone_number": "817-793-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELARA",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.