Individual provider Active NPI

Timothy James Oldani, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1225143480
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2005026124 Issued in MO
Practice address
621 South New Ballas Road
Suite 7005B
Saint Louis, MO 63141-8275
Phone
(314) 991-3668
Fax
(314) 991-3665
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2005026124 MO Primary

Addresses

Primary practice location

621 South New Ballas Road
Suite 7005B
Saint Louis, MO 63141-8275

Mailing address

1836 Lackland Hill Parkway
Saint Louis, MO 63146-3572
Phone (314) 872-1439

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
I20070625000171 MO Practitioner - Podiatry 3072612548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 7005
Saint Louis, MO 63141-8232
Phone (314) 207-4064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions40
Removal of nail tissue169
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005026124MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot & Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Next Step Foot and Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Bridgeton Foot and Ankle LLC Past Accepting new patients

Locations

16 Municipal Dr
Ste E
Arnold, MO 63010
Phone (636) 296-1093

500 W Pine St
Farmington, MO 63640
Phone (573) 701-9249

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

621 S New Ballas Rd
Ste 7005
Saint Louis, MO 63141
Phone (314) 207-4064

621 S New Ballas Rd
Ste 7005B
Saint Louis, MO 63141
Phone (314) 207-4064

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1225143480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PARKWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-872-1439",
            "fax_number": "314-810-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SOUTH NEW BALLAS ROAD",
            "address_2": "SUITE 7005B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418275",
            "telephone_number": "314-991-3668",
            "fax_number": "314-991-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDANI",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2005026124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.