Individual provider Active NPI

Sukaina Zaki Eashour, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
National Provider Identifier
1477119378
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2022035050 Issued in MO
Practice address
203 Salt Lick Rd
Saint Peters, MO 63376-5974
Phone
(636) 279-1900
NPI assigned
May 15, 2019
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 2022035050 MO Primary

Addresses

Primary practice location

203 Salt Lick Rd
Saint Peters, MO 63376-5974

Mailing address

203 Salt Lick Rd
Saint Peters, MO 63376-5974

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906000997 MO Practitioner - Podiatry 3072997337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
74.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022035050MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery CurrentSince Sep 9, 2022 Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery CurrentSince Sep 9, 2022 Accepting new patients

Locations

1726 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 777-4500

203 Salt Lick Rd
Saint Peters, MO 63376
Phone (636) 279-1900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sukaina.eashour.1@2451.direct.athenahealth.com

Organizations & group practices 2

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1477119378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974",
            "telephone_number": "636-279-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASHOUR",
        "first_name": "SUKAINA",
        "middle_name": "ZAKI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2022035050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.