Individual provider Active NPI

Isaac Wilmot, DPM

  • Podiatrist
  • Saint Joseph, MO
National Provider Identifier
1013666254
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.004201 Issued in OH
Practice address
1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989
Phone
(816) 364-2338
Fax
(816) 364-1003
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2026021149 MO
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004201 OH
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 36.004201 OH Primary

Addresses

Primary practice location

1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989

Mailing address

1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989
Phone (816) 364-2338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250616000364 OH Practitioner - Podiatry 7810377108 Reassigns benefits to 1 organization
I20260623003724 MO Practitioner - Podiatry 7810377108

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

350 W Wilson Bridge Rd
Suite 200
Worthington, OH 43085-2591
Phone (614) 505-8890

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004201OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Foot and Ankle Surgeons LLC Podiatrist CurrentSince Aug 1, 2026 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jul 1, 2025 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Jul 1, 2025 Accepting new patients

Locations

1306 Platte Falls Rd
Ste C
Platte City, MO 64079
Phone (816) 364-2338

1005 W Saint Maartens Dr
Ste A
Saint Joseph, MO 64506
Phone (816) 364-2338

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

350 W Wilson Bridge Rd
Ste 200
Worthington, OH 43085
Phone (614) 505-8990

Networks

  • KY PPO
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Interoperability endpoints

  • Direct secure messaging: iwilmot4405143@direct.trinity-health.org
  • Direct secure messaging: isaac.wilmot.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1013666254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "ISAAC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2026021149",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004201",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.004201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.