Individual provider Active NPI

Brittany Ryan Staples

  • Podiatrist
  • Creve Coeur, MO
National Provider Identifier
1720512551
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2020011180 Issued in MO
Practice address
11709 Old Ballas Rd
Ste 201
Creve Coeur, MO 63141-7029
Phone
(314) 432-5683
Fax
(314) 997-7212
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2020011180 MO Primary

Addresses

Primary practice location

11709 Old Ballas Rd
Ste 201
Creve Coeur, MO 63141-7029

Mailing address

11709 Old Ballas Rd
Ste 201
Creve Coeur, MO 63141-7029
Phone (314) 432-5683

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
I20200518000360 MO Practitioner - Podiatry 8123459690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 W Pine St
Farmington, MO 63640-1426
Phone (573) 756-8986

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue178
Removal of skin lesions22
Removal of nail tissue924
Removal or shaving of skin growth622
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot and Ankle Centers, Inc Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Next Step Foot & Ankle Centers, Inc Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Center for Advanced Foot & Ankle Surgery Inc Past Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

500 W Pine St
Farmington, MO 63640
Phone (573) 701-9249

141 E Madison Ave
Ste 100
Kirkwood, MO 63122
Phone (314) 821-8855

11709 Old Ballas Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 432-1903

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

Interoperability endpoints

  • Direct secure messaging: bstaples207753@direct-ehr-ssmhc.com

Organizations & group practices 4

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 3

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1720512551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "STE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-5683",
            "fax_number": "314-997-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "STE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-5683",
            "fax_number": "314-997-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "BRITTANY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2020011180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.