Individual provider Active NPI

Mia Thouvenot, DPM

  • Podiatrist
  • Highland, IL
National Provider Identifier
1396173753
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.005750 Issued in IL
Practice address
12866 Troxler Ave
Highland, IL 62249
Phone
(618) 236-7444
Fax
(618) 726-7444
NPI assigned
Oct 23, 2013
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005750 IL Primary
Podiatrist 213E00000X 2013034538 MO
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005750 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 2014021282 MO

Addresses

Primary practice location

12866 Troxler Ave
Highland, IL 62249

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 234-9884

Other practice location 1

5139 Mattis Rd Ste 102
Saint Louis, MO 63128-2250
Phone (314) 909-1920

Other practice location 2

209 Crossroads Pl
suite 130
Mount Vernon, IL 62864-6545
Phone (618) 241-9411

Other practice location 3

209 Crossroads Pl
suite 130
Mount Vernon, IL 62864-6545
Phone (618) 241-9411

Other practice location 4

4700 Memorial Dr Ste 300
Belleville, IL 62226-5374
Phone (618) 234-9884

Other names 1

  • Dr. Mia Fiegelist Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170608001053 IL Practitioner - Podiatry 4880962240 Reassigns benefits to 2 organizations
I20190612001318 MO Practitioner - Podiatry 4880962240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 236-7444

235 S Main St
Edwardsville, IL 62025-1921
Phone (618) 307-9015

3505 College Ave B
Alton, IL 62002-5065
Phone (618) 462-9695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of skin lesions21
Removal of nail tissue710
Removal or shaving of skin growth46
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005750ILMDPodiatrist
2013034538MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot & Ankle Centers, Inc Podiatrist CurrentSince Jul 15, 2019 Accepting new patients
Next Step Foot and Ankle Centers, Inc Podiatrist CurrentSince Jul 15, 2019 Accepting new patients

Locations

3505 College Ave
Ste B
Alton, IL 62002
Phone (618) 462-9695

1181 S State Route 157
#201B
Edwardsville, IL 62025

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

12866 Troxler Ave
Ste 135
Highland, IL 62249
Phone (618) 236-7444

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

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

Interoperability endpoints

  • Direct secure messaging: miathouvenot@nsfaaci-il.direct.office.nextgen.com
  • Direct secure messaging: mthouvenot@usfas.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1396173753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "618-234-9884",
            "fax_number": "618-235-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 TROXLER AVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "62249",
            "telephone_number": "618-236-7444",
            "fax_number": "618-726-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5139 Mattis Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282250",
            "country_code": "US",
            "telephone_number": "314-909-1920",
            "fax_number": "314-909-1980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Crossroads Pl",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646545",
            "country_code": "US",
            "telephone_number": "618-241-9411",
            "fax_number": "618-241-9414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Crossroads Pl",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646545",
            "country_code": "US",
            "telephone_number": "618-241-9411",
            "fax_number": "618-241-9414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Memorial Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265374",
            "country_code": "US",
            "telephone_number": "618-234-9884",
            "fax_number": "618-235-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOUVENOT",
        "first_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005750",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2013034538",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005750",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2014021282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4700 Memorial Dr Ste 300",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "FIEGELIST",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.