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EDDIE DAVIS, DPM, PLLC
NPI 1114179884
Podiatrist in San Antonio, TX

Active since October 14, 2008
109 GALLERY CIR STE 119, SAN ANTONIO, TX 78258(210) 490-3668(210) 267-5262 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 26, 2025, Nov 20, 2020 (2 updates tracked since 2020).

About Eddie Davis, Dpm, Pllc NPPES

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

EDDIE DAVIS, DPM, PLLC (NPI 1114179884) is a healthcare organization registered as a podiatrist in San Antonio, Texas and active in the NPI registry since October 2008. The organization lists Eddie Davis, Physician, as its authorized official.

NPPES Registry Identity

NPI1114179884
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDDIE DAVIS, DPM, PLLC
Location Address109 GALLERY CIR STE 119San Antonio, TX 78258-3328
Mailing Address109 Gallery Cir Ste 119San Antonio, TX 78258-3328 · (210) 490-3668 · Fax (210) 267-5262
Phone(210) 490-3668
Fax(210) 267-5262
Organization SubpartNo
Authorized OfficialEddie DavisPhysician · (210) 490-3668
Enumeration DateOctober 14, 2008
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1114179884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
109 GALLERY CIR STE 119, San Antonio, TX 78258
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Other Identifiers 1

Medicaid2094732 GROUPTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Eddie Davis, Dpm, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Eddie Davis, DPM, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Eddie Davis, DPM
Podiatry
NPI 1609075902
109 GALLERY CIR STE 119 SUITE 119
San Antonio, TX 78258
(210) 490-3668
✔ PECOS✔ Accepts MedicareSame address
Bryan Sagray, DPM
Podiatry
NPI 1285861054
109 GALLERY CIR STE 119
San Antonio, TX 78258
(210) 490-3668
✔ PECOS✔ Accepts MedicareSame address
Silas Espino, DPM
Podiatry
NPI 1508488388
7424 BROADWAY
San Antonio, TX 78209
(210) 829-8770
✔ PECOS✔ Accepts Medicare8.2 mi
Walter Strash, DPM
Podiatry
NPI 1528117140
7424 BROADWAY ST
San Antonio, TX 78209
(210) 829-8770
✔ PECOS✔ Accepts Medicare8.2 mi
Shehzad Amlani, DPM
Podiatry
NPI 1265993570
1303 MCCULLOUGH AVE STE 333
San Antonio, TX 78212
(210) 227-4164
✔ PECOS✔ Accepts Medicare12 mi
Elias Cheleuitte, DPM
Podiatry
NPI 1972594455
1303 MCCULLOUGH AVE STE 440
San Antonio, TX 78212
(210) 227-4164
✔ PECOS✔ Accepts Medicare12 mi
Charles Melton, DPM
Podiatry
NPI 1962493148
11212 HIGHWAY 151 STE 390
San Antonio, TX 78251
(210) 829-1880
✔ PECOS✔ Accepts Medicare16 mi
Alex Urteaga, DPM
Podiatry
NPI 1326063231
800 W SAN ANTONIO ST
New Braunfels, TX 78130
(830) 625-1473
✔ PECOS✔ Accepts Medicare22 mi

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 Eddie Davis, Dpm, PLLC's NPI number?

The NPI number for Eddie Davis, Dpm, PLLC is 1114179884. It was assigned to this organization in the NPPES registry on October 14, 2008.

Where is Eddie Davis, Dpm, PLLC located?

Eddie Davis, Dpm, PLLC is located at 109 Gallery Cir Ste 119, San Antonio, TX 78258. The listed phone number is (210) 490-3668.

What is Eddie Davis, Dpm, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Eddie Davis, Dpm, PLLC enrolled in Medicare?

Yes. Eddie Davis, Dpm, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eddie Davis, Dpm, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Podiatry, reassign their Medicare billing to Eddie Davis, Dpm, 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eddie Davis, Dpm, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Eddie Davis, Dpm, 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 Eddie Davis, Dpm, PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.