Individual provider Active NPI

Thomas Chad Hewitt, D.P.M.

  • Foot Surgery Podiatrist
  • Gladstone, MO
National Provider Identifier
1508980657
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
12-00456 Issued in KS
Practice address
6717 N Oak Trfy
Gladstone, MO 64118-3346
Phone
(816) 452-1211
Fax
(816) 452-4211
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3298 FL
Foot Surgery Podiatrist 213ES0131X 2007021183 MO
Foot Surgery Podiatrist 213ES0131X 12-00456 KS Primary

Addresses

Primary practice location

6717 N Oak Trfy
Gladstone, MO 64118-3346

Mailing address

6717 N Oak Trfy
Gladstone, MO 64118-3346
Phone (816) 452-1211

Other practice location 1

15520 S Downing St
Olathe, KS 66062-6306
Phone (913) 839-3443

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
I20070802000064 MO Practitioner - Podiatry 5294826491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Captain Doc LLCGroup PAC ID 2668404096, 2 clinicians

Practice addresses (Care Compare)

6717 N Oak Trfy
Gladstone, MO 64118-3346
Phone (816) 452-1211

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue12
Removal of skin lesions26
Removal of nail tissue1270
Removal or shaving of skin growth60
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3298FLMDFoot & Ankle Surgery Podiatrist
2007021183MOMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Captain Doc LLC CurrentSince Sep 1, 2009 Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery Past Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

6717 N Oak Trfy
Kansas City, MO 64118
Phone (816) 452-1211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1508980657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-452-1211",
            "fax_number": "816-452-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-452-1211",
            "fax_number": "816-452-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15520 S Downing St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660626306",
            "country_code": "US",
            "telephone_number": "913-839-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "THOMAS",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3298",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": "2007021183",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KS",
            "license": "12-00456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.