Organization Active NPI

A Foot Doctor LLC

  • Podiatrist
  • Ballwin, MO
National Provider Identifier
1346029105
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
A FOOT DOCTOR LLC
Practice address
504 Thornlea CT
Ballwin, MO 63011-4406
Phone
(903) 821-8545
Fax
(314) 932-0877
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Dr. Ahmed Abo-Mahmood, DPMNPI 1215425574
Title
Authorized Official
Phone
(903) 821-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

504 Thornlea CT
Ballwin, MO 63011-4406

Mailing address

504 Thornlea CT
Ballwin, MO 63011-4406
Phone (903) 821-8545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115001270 MO Part B Supplier - Clinic/Group Practice 5496102303 Receives reassigned benefits from 1 practitioner
Practice locations: Ballwin, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1346029105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 THORNLEA CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114406",
            "telephone_number": "903-821-8545",
            "fax_number": "314-932-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 THORNLEA CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114406",
            "telephone_number": "903-821-8545",
            "fax_number": "314-932-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FOOT DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ABO-MAHMOOD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-821-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.