Individual provider Active NPI

Zachary Newland, D.P.M.

  • Podiatrist
  • Florissant, MO
National Provider Identifier
1619965530
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
519 Issued in MO
Practice address
4585 Washington St
Suite A2
Florissant, MO 63033-5858
Phone
(314) 972-1040
Fax
(314) 972-1055
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 519 MO Primary

Addresses

Primary practice location

4585 Washington St
Suite A2
Florissant, MO 63033-5858

Mailing address

4585 Washington St
Suite A2
Florissant, MO 63033-5858
Phone (314) 972-1040

Other identifiers 1

IdentifierTypeStateIssuer
480005017OtherMORAILROAD MEDICARE

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
I20050707000806 MO Practitioner - Podiatry 7214973510 Reassigns benefits to 1 organization
Practice locations: Florissant, MO

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11642 W Florissant Ave
Florissant, MO 63033-6723
Phone (314) 838-8220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue229
Removal or shaving of skin growth198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
519MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Kerr People's Health Centers CurrentSince Oct 20, 2025 Accepting new patients
Betty Jean Kerr People's Health Centers CurrentSince Oct 20, 2025 Accepting new patients
Advanced Surgical Care of St. Louis, LLC PastSince Jul 16, 2018 Accepting new patients

Locations

11642 West Florissant Ave
Florissant, MO 63033
Phone (314) 830-4713

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

Interoperability endpoints

  • Direct secure messaging: zachary.newland.p1@direct.phcenters.nextgenshare.com

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1619965530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE A2",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-972-1040",
            "fax_number": "314-972-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE A2",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-972-1040",
            "fax_number": "314-972-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480005017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.