Michael E. Nellestein, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

101630 Issued in MO

Practice address

1341 Village Dr
Saint Joseph, MO 64506-2457

Phone

(816) 291-4149

Fax

(816) 897-3969

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13880/brand/1/csg/1/fhir/r4

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.

• USA Vein Clinics of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
  • NPI 1912301003
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1104848662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-291-4149",
            "fax_number": "816-897-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-291-4149",
            "fax_number": "816-897-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLESTEIN",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MO",
            "license": "101630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208881938",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellee Nicole Neal, DO
• Kensey Neely
• Stephanie A Neely, DDS
• Fnu Neha, MD
• Nellestein Vein Institute LLC
• Arthur Scott Nelson, D.D.S.
• Pamela Shattuck Nelson, AU.D.
• Dave Neumann, BC-HIS
• Neurology Associates of St Joseph Inc
• Bree Newbold

• Phlebology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Phlebology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.