Individual provider Active NPI

Harry John Visser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Creve Coeur, MO
National Provider Identifier
1285648576
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000431 Issued in MO
Practice address
11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029
Phone
(314) 432-1903
Fax
(314) 432-5105
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 000431 MO Primary

Addresses

Primary practice location

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029

Mailing address

PO Box 419074
Creve Coeur, MO 63141-9074
Phone (314) 432-1903

Other identifiers 2

IdentifierTypeStateIssuer
301529822MedicaidMO
301529806MedicaidMO

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
I20100907000505 MO Practitioner - Podiatry 9133158496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Step Foot and Ankle Centers, Inc.Group PAC ID 5395738207, 29 clinicians
Arnold Physical Therapy and Sports Medicine LLCGroup PAC ID 5698803278, 87 clinicians

Practice addresses (Care Compare)

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029
Phone (314) 432-1903

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000431MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot & Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Next Step Foot and Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients
Center for Advanced Foot & Ankle Surgery Inc Foot & Ankle Surgery Past Accepting new patients

Locations

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

11709 Old Ballas Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 432-1903

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

Interoperability endpoints

  • Direct secure messaging: hvisser@usfas.emadirect.md
  • Direct secure messaging: hvisser10482@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1285648576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419074",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631419074",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "HARRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301529822",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301529806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.