Individual provider Active NPI

Eric Snook, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
National Provider Identifier
1710974787
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005090 Issued in IL
Practice address
2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone
(618) 277-5700
Fax
(618) 257-7049
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005090 IL Primary

Addresses

Primary practice location

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000

Mailing address

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700

Other identifiers 1

IdentifierTypeStateIssuer
P00785898OtherILRAILROAD MEDICARE 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
I20090414000303 IL Practitioner - Podiatry 3577539246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot Surgeons of Southwest Illinois, LTD.Group PAC ID 8123322955, 4 clinicians

Practice addresses (Care Compare)

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as individual
Quality
78.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue1152
Removal or shaving of skin growth438
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005090ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot Surgeons of Southwest Illinois, LTD. Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Family Eye Care of Ofallon PC Past Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 900
Belleville, IL 62223
Phone (618) 277-5700

2133 Vadalabene Dr
Ste 5
Maryville, IL 62062
Phone (618) 205-6107

852 Cambridge Blvd
Ste 200
O Fallon, IL 62269
Phone (618) 277-5700

402 N Wood St
Staunton, IL 62088
Phone (618) 391-6495

Interoperability endpoints

  • Direct secure messaging: esnook@afsobl-il.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBADD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1710974787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 900",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-277-5700",
            "fax_number": "618-257-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 900",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-277-5700",
            "fax_number": "618-257-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00785898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.