Individual provider Active NPI

Michael Neil Fine, DPM

  • Podiatrist
  • N Kansas City, MO
National Provider Identifier
1033147277
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000679 Issued in MO
Practice address
2790 Clay Edwards Dr
Suite 570
N Kansas City, MO 64116-3276
Phone
(816) 455-8900
Fax
(816) 455-8901
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000679 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 570
N Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 570
N Kansas City, MO 64116-3276
Phone (816) 455-8900

Other identifiers 4

IdentifierTypeStateIssuer
1083821904OtherMOGROUP NPI NUMBER
480033263OtherMOMEDICARE RAILROAD
308093905MedicaidMO
22440035OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000517 MO Practitioner - Podiatry 7012072036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 Clay Edwards Dr
Suite 360
N Kansas City, MO 64116-3270
Phone (816) 455-8900

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • North Kansas City Hospital Inpatient rehabilitation facility, North Kansas City, MO, CCN 26T096

Merit-based Incentive Payment System (MIPS)

Final score
21.12 of 100Reported as individual
Quality
38.33
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions39
Removal of nail tissue683
Removal or shaving of skin growth190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: finefootcarecenter.michaelfine@161400.advancedmd-direct.com

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1033147277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 570",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-455-8900",
            "fax_number": "816-455-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 570",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-455-8900",
            "fax_number": "816-455-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "MICHAEL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1083821904",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480033263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308093905",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22440035",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kansas City, MO

Sources for this page

Verify at the official NPI Registry.