Organization Active NPI

Sheldon Fleishman D.P.M., P.a.

  • Foot & Ankle Surgery Podiatrist
  • Overland Park, KS
National Provider Identifier
1659571966
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
12-00109 Issued in KS
Legal business name
SHELDON FLEISHMAN D.P.M., P.A.
Practice address
10701 Nall Ave
Suite 120
Overland Park, KS 66211-1231
Phone
(913) 381-5515
Fax
(913) 381-5514
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Sheldon Fleishman, DPMNPI 1245234640
Title
Owner
Phone
(913) 381-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 12-00109 KS Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 120
Overland Park, KS 66211-1231

Mailing address

1050 S Outer Rd
Blue Springs, MO 64015-3064
Phone (816) 228-9393

Other identifiers 2

IdentifierTypeStateIssuer
P00337630OtherKSRAIL ROAD MEDICARE
07902022OtherMOKANSAS CITY BLUE CROSS BL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000694 KS Part B Supplier - Clinic/Group Practice 3870501059 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

10701 Nall Ave
Ste 120
Overland Park, KS 66211
Phone (816) 228-9393

1050 S Outer Rd
Blue Springs, MO 64015
Phone (816) 228-9393

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1659571966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153064",
            "telephone_number": "816-228-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5515",
            "fax_number": "913-381-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON FLEISHMAN D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "FLEISHMAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-381-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "12-00109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00337630",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BLUE CROSS BL",
            "identifier": "07902022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.