Individual provider Active NPI

Steven B Geduldig, DPM

  • Foot Surgery Podiatrist
  • Olathe, KS
National Provider Identifier
1457312787
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
12-00184 Issued in KS
Practice address
153 W 151St St
Olathe, KS 66061-5300
Phone
(913) 829-6800
Fax
(913) 829-6197
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 12-00184 KS Primary

Addresses

Primary practice location

153 W 151St St
Olathe, KS 66061-5300

Mailing address

9119 W 74TH St
Overland Park, KS 66204-2229
Phone (913) 677-3600

Other identifiers 2

IdentifierTypeStateIssuer
09117011OtherKSBLUE CROSS BLUE SHIELD
074568OtherKSBLUE SHIELD TOPEKA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12-00184KSMDFoot Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: stevengeduldig@fskcpa.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1457312787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042229",
            "telephone_number": "913-677-3600",
            "fax_number": "913-432-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615300",
            "telephone_number": "913-829-6800",
            "fax_number": "913-829-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDULDIG",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KS",
            "license": "12-00184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09117011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD TOPEKA",
            "identifier": "074568",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.