Active NPI
R Randal Aaranson, D.P.M.
- Podiatrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000640
- Practice address
- 1050 Old Des Peres Rd
Suite 100
Saint Louis, MO 63131-1873 - Phone
- (314) 569-0612
- Fax
- (314) 966-0664
- NPI assigned
- Sep 8, 2005
- Last updated
- Mar 23, 2021
- 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 | 000640 | MO | Primary |
Addresses
Primary practice location
1050 Old Des Peres Rd
Suite 100
Saint Louis, MO 63131-1873
Mailing address
1050 Old Des Peres Rd
Suite 100
Saint Louis, MO 63131-1873
Phone (314) 569-0612
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029917 | Other | MO | UNITED HEALTHCARE |
| 1190602 | Other | MO | CIGNA |
| 5779579 | Other | MO | AETNA |
| 000000580882 | Other | MO | ANTHEM |
| 148903 | Other | MO | HEALTHLINK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Missouri Baptist Medical Center | |
| Direct Messaging Address | r.aaranson.p1@direct.oastl.nextgenshare.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Patients 1St Dr
Suite 1300
Washington, MO 63090-4700
Phone (636) 239-9011
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 50 |
| Removal of nail tissue | 76 |
| Removal or shaving of skin growth | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00640 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Podiatry LLC | Podiatrist | Current | Accepting new patients |
Locations
901 Patients First Dr
Ste 1300
Washington, MO 63090
Phone (636) 231-3730
1526 W Meyer Rd
Wentzville, MO 63385
Phone (636) 239-9011
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Washington, MO
- NPI 1073877395
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1407840184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 OLD DES PERES RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311873",
"telephone_number": "314-569-0612",
"fax_number": "314-966-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 OLD DES PERES RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311873",
"telephone_number": "314-569-0612",
"fax_number": "314-966-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AARANSON",
"first_name": "R",
"middle_name": "RANDAL",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "000640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1029917",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1190602",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5779579",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000580882",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "148903",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"endpointDescription": "BJC/WUSM EPIC EMR",
"affiliationName": "Missouri Baptist Medical Center",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Application Programming Interface",
"address_1": "3015 N Ballas Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "r.aaranson.p1@direct.oastl.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "OA NextGen EMR",
"address_1": "1050 Old Des Peres Rd",
"address_2": "Suite 100",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631311873",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.