DR. WILLIAM ROBERT REDISKE (D.P.M) – Foot Surgery Podiatrist, NPI 1134286024

DR. WILLIAM ROBERT REDISKE (D.P.M) is a healthcare provider. based in Killeen, Texas. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. 1546 (TX). The NPI Number for DR. WILLIAM ROBERT REDISKE (D.P.M) is 1134286024

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM ROBERT REDISKE (D.P.M)
NPI
1134286024
Phone
Not provided
Address
2300 S CLEAR CREEK RD
Enumeration Date
2 January 2007
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2545193338
Graduation Year
1998 (28 years ago)
PAC ID
5597856294
Group Practice PAC ID
9537183124
Professional Enrollment ID
I20070809000664
Address ID
TX765494119KI2301XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

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Provider Addresses for DR. WILLIAM ROBERT REDISKE (D.P.M)

  • South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States

    SUITE 203

    KILLEEN, TX 765494984

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Kerecis Limited ($201).

Total Amount

$649

General + Research + Ownership

Payments

25

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070809000664IPodiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes341157$0
11721Removal of fingernails or toenails, 6 or more nails240124$0
97597Removal of tissue from wound, 20.0 sq cm or less17344$0
J1100Injection, dexamethasone sodium phosphate, 1 mg14618$0
99212Established patient office or other outpatient visit, 10-19 minutes10877$0
View full utilization report →

Insurance plans in this area (ZIP 76549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537183124View full group profile
NameSpecialtyState
Internal Medicine, Interventional RadiologyTX
P S Y C H I A T R YTX
General SurgeryVA
Nurse PractitionerVA
Orthopedic SurgeryCA
-TX
-TX
Clinical Social WorkerTX
General SurgeryTX
-TX

Reviews

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Frequently asked questions

What federal number belongs to DR. WILLIAM ROBERT REDISKE (D.P.M)?
The federal identifier for DR. WILLIAM ROBERT REDISKE (D.P.M) is NPI 1134286024.
Is DR. WILLIAM ROBERT REDISKE (D.P.M)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. WILLIAM ROBERT REDISKE (D.P.M)?
The page reflects Foot Surgery Podiatrist for DR. WILLIAM ROBERT REDISKE (D.P.M). Clinical services aligned with this taxonomy classification.
Where is DR. WILLIAM ROBERT REDISKE (D.P.M)'s primary listing?
We display Killeen, Texas because that is what the record indicates for DR. WILLIAM ROBERT REDISKE (D.P.M).
Is DR. WILLIAM ROBERT REDISKE (D.P.M) a real provider?
This page reflects official NPPES data for NPI 1134286024. Always confirm identity and privileges with the practice and licensing boards.

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