Executive Sole Podiatry, PLLC
NPI 1053929430 · Podiatric Clinic/Center · Houston, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Sole Podiatry, PLLC is a Podiatric Clinic/Center organization in Houston, TX (NPI 1053929430).
Provider details
- NPI number
- 1053929430
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anetra Miranda, Podiatrist(866) 925-5662
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Frequently asked questions
- What is Executive Sole Podiatry, PLLC's NPI number?
- Executive Sole Podiatry, PLLC's National Provider Identifier (NPI) is 1053929430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Sole Podiatry, PLLC?
- Executive Sole Podiatry, PLLC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Executive Sole Podiatry, PLLC located?
- Executive Sole Podiatry, PLLC's practice location on file with NPPES is 5373 W Alabama St Ste 204, Houston, TX 77056-5923.
- What is Executive Sole Podiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Sole Podiatry, PLLC is (866) 925-5662.
- Does Executive Sole Podiatry, PLLC accept Medicare?
- Executive Sole Podiatry, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Executive Sole Podiatry, PLLC?
- The authorized official listed on Executive Sole Podiatry, PLLC's NPPES record is Anetra Miranda, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Sole Podiatry, PLLC's NPI active?
- Yes — Executive Sole Podiatry, PLLC's NPI (1053929430) is active in the NPPES registry as of the last update on 2021-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.