LUIS ENRIQUE CAPORUSSO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1255078085

LUIS ENRIQUE CAPORUSSO (DPM) is a healthcare provider. based in San antonio, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 39 (TX). The NPI Number for LUIS ENRIQUE CAPORUSSO (DPM) is 1255078085

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
LUIS ENRIQUE CAPORUSSO (DPM)
NPI
1255078085
Phone
Not provided
Address
12235 VANCE JACKSON RD APT 726
Enumeration Date
13 May 2022
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9569719107
Graduation Year
2022 (4 years ago)
PAC ID
5294254652
Group Practice PAC ID
2264490465
Professional Enrollment ID
I20250528003915
Address ID
TX785012930MC812XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for LUIS ENRIQUE CAPORUSSO (DPM)

  • 12235 VANCE JACKSON RD APT 726

    SAN ANTONIO, TX 782305964

    Phone:

    Type: Mailing

  • 4502 MEDICAL DR

    SAN ANTONIO, TX 782294402

    Phone: (210) 358-4000

    Type: Location

  • 812 LINDBERG AVE

    MCALLEN, TX 785012930

    Phone: (956) 971-9107

    Fax: (956) 971-9107

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $4,463.

Total Amount is formed as General ($4,463) + Research ($0) + Ownership ($0) = $4,463.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: TriMed, Inc. ($1,518).

Total Amount

$4,463

General + Research + Ownership

Payments

42

Total payment records

General Amount

$4,463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

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: 2025-05-28

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
I20250528003915IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78230)

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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: 2264490465View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

What identifier follows LUIS ENRIQUE CAPORUSSO (DPM) across health systems?
The NPI 1255078085 uniquely identifies LUIS ENRIQUE CAPORUSSO (DPM) in U.S. healthcare data.
Quick check: is LUIS ENRIQUE CAPORUSSO (DPM) active?
Public NPPES data shows LUIS ENRIQUE CAPORUSSO (DPM) with an active NPI status right now.
Which specialty label fits LUIS ENRIQUE CAPORUSSO (DPM)?
NPPES ties LUIS ENRIQUE CAPORUSSO (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LUIS ENRIQUE CAPORUSSO (DPM)?
LUIS ENRIQUE CAPORUSSO (DPM) is associated with San Antonio, Texas in the same public data insurers reference.
Can I export LUIS ENRIQUE CAPORUSSO (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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