Active NPI
Joel D Foster, DPM
- Foot Surgery Podiatrist
- Lee's Summit, MO
National Provider Identifier
1487625364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 2000161864
- Practice address
- 6 N.W. Sycamore Street
Suite a
Lee's Summit, MO 64086-4703 - Phone
- (816) 246-4222
- Fax
- (816) 246-4223
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 2000161864 | MO | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 12-00320 | KS |
Addresses
Primary practice location
6 N.W. Sycamore Street
Suite a
Lee's Summit, MO 64086-4703
Mailing address
12639 Old Tesson Rd # 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-00320 | KS | MD | Foot Surgery Podiatrist |
| 2000161864 | MO | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Family Pharmacy | Current | Accepting new patients | |
| Desert Rose Management Corp | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Lee's Summit, MO
- NPI 1770069403
-
- Preferred Provider Organization
- Lee's Summit, MO
- NPI 1316064488
-
dba Desert Rose Imaging Center
- Radiology Clinic/Center
- Kingman, AZ
- NPI 1609967645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1487625364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD # 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N.W. SYCAMORE STREET",
"address_2": "SUITE A",
"city": "LEE'S SUMMIT",
"state": "MO",
"postal_code": "640864703",
"telephone_number": "816-246-4222",
"fax_number": "816-246-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JOEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MO",
"license": "2000161864",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "KS",
"license": "12-00320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.