Active NPI
Michael Neil Fine, DPM
- Podiatrist
- N Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083821904 | Other | MO | GROUP NPI NUMBER |
| 480033263 | Other | MO | MEDICARE RAILROAD |
| 308093905 | Medicaid | MO | |
| 22440035 | Other | MO | BCBS |
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
Enrollment records 1
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
- North Kansas City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.12 of 100
- Quality
- 38.33
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of skin lesions | 39 |
| Removal of nail tissue | 683 |
| Removal or shaving of skin growth | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- 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.
-
- Primary Podiatric Medicine Podiatrist
- North Kansas City, MO
- NPI 1083821904
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- North Kansas City, MO
- NPI 1598719387
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.