Academy Foot & Ankle Specialists at flowermound – Primary Podiatric Medicine Podiatrist, NPI 1376738971
Primary Podiatric Medicine Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Academy Foot & Ankle Specialists at flowermound
1940 E STATE HWY 114
SUITE 150
SOUTHLAKE, TX 76092
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Mailing
Precinct Line Road, North Richland Hills, Tarrant County, Texas, 76054, United States
NORTH RICHLAND HILLS, TX 761824313
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Location
7226 Crawford Rd
Argyle, TX 762262674
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Location
5810 Long Prairie Rd Ste 400
Flower Mound, TX 750282588
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Location
4444 Heritage Trace Pkwy Ste 400
Fort Worth, TX 762448944
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Location
6501 Precinct Line Rd Ste 100
North Richland Hills, TX 761824313
Phone: (817) 424-3668
Fax: (817) 442-8637
Type: Location
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: 2020-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (69 days ago).
Enrollment records
2
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050915001129 | O | Clinic/Group Practice | TX | 2026-03-31 |
| O20201008002929 | O | Physician - General Practice | TX | TBD |
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.
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 76092)
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