Individual provider Active NPI

James Drew Taylor, DPM

  • Podiatrist
  • O'Fallon, IL
National Provider Identifier
1659449965
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004852 Issued in IL
Practice address
4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone
(618) 277-0001
Fax
(618) 277-7339
NPI assigned
Dec 4, 2006
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004852 IL Primary

Addresses

Primary practice location

4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802

Mailing address

4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone (618) 277-0001

Other identifiers 1

IdentifierTypeStateIssuer
6242980001OtherILDME PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090430000450 IL Practitioner - Podiatry 7214085299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ankle and Foot Surgeons, LLCGroup PAC ID 2769530740, 6 clinicians

Practice addresses (Care Compare)

211 E Hanover St
New Baden, IL 62265-1811
Phone (618) 277-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
75.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions294
Removal of nail tissue2215
Removal or shaving of skin growth1883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ankle and Foot Surgeons, LLC Podiatrist CurrentSince Apr 30, 2009 Accepting new patients
Affiliated Ankle and Foot Surgeons Podiatrist Past Accepting new patients
C James Anderson DPM LLC Podiatrist Past Accepting new patients

Locations

4600 Memorial Dr
Ste 80
Belleville, IL 62226
Phone (618) 277-0001

211 E Hanover St
New Baden, IL 62265
Phone (618) 588-2900

4905 Stone Falls Ctr
#B
O Fallon, IL 62269
Phone (618) 277-0001

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1659449965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 STONE FALLS CTR STE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-277-0001",
            "fax_number": "618-277-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 STONE FALLS CTR STE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-277-0001",
            "fax_number": "618-277-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAMES",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6242980001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.