Active NPI
Justin M. Goldsmith, DPM
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2018013149
- Practice address
- 3009 N Ballas Rd Ste 251C
Saint Louis, MO 63131-2352 - Phone
- (314) 996-3690
- NPI assigned
- Jun 19, 2015
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2018013149 | MO | Primary |
Addresses
Primary practice location
3009 N Ballas Rd Ste 251C
Saint Louis, MO 63131-2352
Mailing address
3009 N Ballas Rd Ste 251C
Saint Louis, MO 63131-2352
Phone (314) 996-3690
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3009 N Ballas Rd
Suite 251C
Saint Louis, MO 63131-2352
Phone (314) 996-3690
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 13 |
| Removal or shaving of skin growth | 13 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current | Accepting new patients | |
| Physician Groups LC | Current | Accepting new patients | |
| Podiatry Associates Inc | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
3009 N Ballas Rd
Ste 251C
Saint Louis, MO 63131
Phone (314) 569-2680
4201 S Cloverleaf Dr
Ste A
Saint Peters, MO 63376
Phone (314) 928-1240
4201 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (314) 567-4449
Interoperability endpoints
- goldsmith.justin.002.0250010@poa.meditab.direct-ci.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
-
- Foot & Ankle Surgery Podiatrist
- Saint Peters, MO
- NPI 1316089469
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1417339920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 251C",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312352",
"telephone_number": "314-996-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 251C",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312352",
"telephone_number": "314-996-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "JUSTIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2018013149",
"primary": true
}
],
"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": "3009 N Ballas Rd Ste 251C",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312352",
"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 Oct 5, 2023; 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.