Active NPI
Martin J Rischall, DPM
- Podiatrist
- Saint Peters, MO
National Provider Identifier
1376546283
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 18, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000509
- Practice address
- 4201 S Cloverleaf Dr
Saint Peters, MO 63376-6438 - Phone
- (636) 928-1240
- Fax
- (636) 928-1242
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000509 | MO | Primary |
Addresses
Primary practice location
4201 S Cloverleaf Dr
Saint Peters, MO 63376-6438
Mailing address
4201 S Cloverleaf Dr
Saint Peters, MO 63376-6438
Phone (636) 928-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303793616 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates Inc | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Saint Peters, MO
- NPI 1316089469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1376546283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 S CLOVERLEAF DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766438",
"telephone_number": "636-928-1240",
"fax_number": "636-928-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 S CLOVERLEAF DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766438",
"telephone_number": "636-928-1240",
"fax_number": "636-928-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISCHALL",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "000509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303793616",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.