Kevin A Nettesheim, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000531 Issued in MO

Practice address

4305 Butler Hill Rd Ste B
Saint Louis, MO 63128-3718

Phone

(314) 849-9009

Fax

(314) 849-9004

NPI assigned

May 23, 2005

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 5

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nettesheim Family Foot Care, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1861691883
  NPD Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1366445314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BUTLER HILL RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283718",
            "telephone_number": "314-849-9009",
            "fax_number": "314-849-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BUTLER HILL RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283718",
            "telephone_number": "314-849-9009",
            "fax_number": "314-849-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTESHEIM",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "104946-003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC/CIGNA",
            "identifier": "4443980001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033520",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "107843",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308054006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Nester, M.D.
• Netcare Health Professionals, Inc.
• Kartik Deepak Nettar, M.D.
• Nettesheim Family Foot Care, P.C.
• Nettesheim Family Footcare
• Audrey Lee Nettles
• Denise L Nettles
• Ann Ramatowski Netzer, LCSW
• Amy Kelly Neu, LCSW
• Catherine Neu, LCSW

• Foot & Ankle Surgery Podiatrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.