SOUTH TEXAS FOOT & ANKLE SPECIALIST PA – Foot & Ankle Surgery Podiatrist, NPI 1144478694

SOUTH TEXAS FOOT & ANKLE SPECIALIST PA is a healthcare provider. based in Laredo, Texas. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 1856 (TX). The NPI Number for SOUTH TEXAS FOOT & ANKLE SPECIALIST PA is 1144478694

Main info

Organization
Name
SOUTH TEXAS FOOT & ANKLE SPECIALIST PA
NPI
1144478694
Phone
(956) 718-0075
Address
6419 POLARIS
Authorized Official
PABLO TREVINO OWNER DPM
Enumeration Date
8 September 2008
Last Update Date
16 September 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTH TEXAS FOOT & ANKLE SPECIALIST PA

  • 6419, Polaris Drive, Laredo, Webb County, Texas, 78041, United States

    SUITE A 1

    LAREDO, TX 780414725

    Phone: (956) 718-0075

    Fax: (956) 718-0086

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (283 days ago).

Enrollment records

2

Earliest due date

2025-08-31

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
O20081024000619OClinic/Group PracticeTX2025-09-30
O20100930061328OPhysician - PodiatryTX2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 78041)

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Reviews

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Frequently asked questions

What number should I use to identify SOUTH TEXAS FOOT & ANKLE SPECIALIST PA for billing?
Administrative and clinical systems typically use NPI 1144478694 for SOUTH TEXAS FOOT & ANKLE SPECIALIST PA.
Does the public listing show SOUTH TEXAS FOOT & ANKLE SPECIALIST PA as active?
SOUTH TEXAS FOOT & ANKLE SPECIALIST PA's NPI record reflects an active status in NPPES.
What type of care does SOUTH TEXAS FOOT & ANKLE SPECIALIST PA provide?
SOUTH TEXAS FOOT & ANKLE SPECIALIST PA's profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to SOUTH TEXAS FOOT & ANKLE SPECIALIST PA?
SOUTH TEXAS FOOT & ANKLE SPECIALIST PA shows a connection to Laredo, Texas in registry-derived data.
Can I export SOUTH TEXAS FOOT & ANKLE SPECIALIST PA's record?
You can download the official NPPES record; we summarize key fields for readability.

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PABLO TREVINO (DPM)

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6419, Polaris Drive, Laredo, Webb County, Texas, 78041, United States
NPI: 1407041809