DEFORMITY RECONSTRUCTION SPECIALISTS PLLC
NPI 1316482904
Podiatrist in Grapevine, TX
About Deformity Reconstruction Specialists Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEFORMITY RECONSTRUCTION SPECIALISTS PLLC (NPI 1316482904) is a healthcare organization registered as a podiatrist in Grapevine, Texas and active in the NPI registry since January 2017. The organization lists Eideh Atway, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deformity Reconstruction Specialists 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 Deformity Reconstruction Specialists PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Deformity Reconstruction Specialists PLLC's NPI number?
The NPI number for Deformity Reconstruction Specialists PLLC is 1316482904. It was assigned to this organization in the NPPES registry on January 5, 2017.
Where is Deformity Reconstruction Specialists PLLC located?
Deformity Reconstruction Specialists PLLC is located at 1245 Falcon Dr, Grapevine, TX 76051. The listed phone number is (607) 221-4229.
What is Deformity Reconstruction Specialists PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Deformity Reconstruction Specialists PLLC enrolled in Medicare?
Yes. Deformity Reconstruction Specialists PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deformity Reconstruction Specialists PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Deformity Reconstruction Specialists 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.
When was this NPI record last updated?
The NPPES record for Deformity Reconstruction Specialists PLLC was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Deformity Reconstruction Specialists Pllc · NPI 1316482904
Podiatrist organization in Grapevine, Texas. Organization record, active in the CMS NPPES registry since January 5, 2017.
## Identity
- **NPI:** 1316482904 (Entity type: Organization)
- **Enumerated:** January 5, 2017
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Eideh Atway, OWNER
## Practice location
- **Address:** 1245 FALCON DR, Grapevine, TX 76051-1117
- **Phone:** (607) 221-4229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1316482904) · Data from the CMS NPPES public registry.