Individual provider Active NPI

Silas Robert Fiefhaus, DPM

  • Foot & Ankle Surgery Podiatrist
  • Johnson City, TN
National Provider Identifier
1467023507
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
950 Issued in TN
Practice address
301 Med Tech Pkwy Ste 106
Johnson City, TN 37604-2631
Phone
(423) 434-6410
Fax
(423) 232-8576
NPI assigned
Jul 9, 2021
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X UV265789 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 950 TN Primary

Addresses

Primary practice location

301 Med Tech Pkwy Ste 106
Johnson City, TN 37604-2631

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 434-6410

Other practice location 1

301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631
Phone (423) 794-5590

Other practice location 2

303 Med Tech Pkwy
Johnson City, TN 37604-2391
Phone (423) 282-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003304 TN Practitioner - Podiatry 1254879315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of nail tissue603
Removal or shaving of skin growth149
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UV265789OHMDFoot & Ankle Surgery Podiatrist
950TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Aug 1, 2024 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jun 9, 2024 Accepting new patients
Medical Specialists of Johnson City Past Accepting new patients

Locations

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 106
Johnson City, TN 37604
Phone (423) 434-6410

301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

303 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 230-8200

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
  • Direct secure messaging: silasfiefhaus@sofha.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1467023507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-434-6410",
            "fax_number": "423-232-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MED TECH PKWY STE 106",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042631",
            "telephone_number": "423-434-6410",
            "fax_number": "423-232-8576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Med Tech Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042631",
            "country_code": "US",
            "telephone_number": "423-794-5590",
            "fax_number": "423-794-5877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042391",
            "country_code": "US",
            "telephone_number": "423-282-5611",
            "fax_number": "423-282-5712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEFHAUS",
        "first_name": "SILAS",
        "middle_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "UV265789",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.