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EXECUTIVE SOLE PODIATRY, PLLC
NPI 1053929430
Clinic/Center - Podiatric in Houston, TX

Active since July 21, 2020
5373 W ALABAMA ST STE 204, HOUSTON, TX 77056(866) 925-5662(866) 925-5662 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2021, Aug 16, 2020, Jul 21, 2020 (3 updates tracked since 2020).

About Executive Sole Podiatry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE SOLE PODIATRY, PLLC (NPI 1053929430) is a healthcare organization registered as a podiatric in Houston, Texas and active in the NPI registry since July 2020. The organization lists Anetra Sharice Miranda, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1053929430
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameEXECUTIVE SOLE PODIATRY, PLLC
Location Address5373 W ALABAMA ST STE 204Houston, TX 77056-5923
Mailing Address6445 Fm 1463 Rd Ste 160-213Katy, TX 77494-4027 · (866) 925-5662
Phone(866) 925-5662
Fax(866) 925-5662
Organization SubpartNo
Authorized OfficialAnetra Sharice MirandaPodiatrist · (866) 925-5662
Enumeration DateJuly 21, 2020
Last NPPES UpdateMay 6, 20213 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1053929430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
5373 W ALABAMA ST STE 204, Houston, TX 77056
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Executive Sole Podiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Executive Sole Podiatry, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anetra Miranda, DPM
Podiatry
NPI 1871770917
5373 W ALABAMA ST STE 204
Houston, TX 77056
(866) 925-5662
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Sole Podiatry, PLLC's NPI number?

The NPI number for Executive Sole Podiatry, PLLC is 1053929430. It was assigned to this organization in the NPPES registry on July 21, 2020.

Where is Executive Sole Podiatry, PLLC located?

Executive Sole Podiatry, PLLC is located at 5373 W Alabama St Ste 204, Houston, TX 77056. The listed phone number is (866) 925-5662.

What is Executive Sole Podiatry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Executive Sole Podiatry, PLLC enrolled in Medicare?

Yes. Executive Sole Podiatry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Executive Sole Podiatry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Executive Sole Podiatry, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Executive Sole Podiatry, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Executive Sole Podiatry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Executive Sole Podiatry, PLLC was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.