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RENEE KUKLA PIETZSCH DPM NPI 1649209503


NPI Information

NPI: 1649209503
Provider Name: RENEE KUKLA PIETZSCH, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3316 WILLIAMS DR STE 120
GEORGETOWN, TX
ZIP 78628
Phone: (512) 819-4555
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Renee Kukla Pietzsch, DPM is a podiatrist in Georgetown, TX with 24 years of experience. The provider is 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. Renee Kukla Pietzsch, DPM NPI is 1649209503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

3316 WILLIAMS DR STE 120
GEORGETOWN, TX
ZIP 78628-891
Phone: (512) 819-4555
Fax: (512) 819-4559

The NPI 1649209503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist1667TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1178091801MEDICAIDTEXAS
20A4523MEDICARE PINTEXAS
3P00479025OTHERTEXASRAILROAD MEDICARE
45608850001MEDICARE NSCTEXAS
58F21698MEDICARE PINTEXAS
6U90048MEDICARE UPINTEXAS
78BD531OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.