NPIMap

Individual provider Active NPI

Samuel T Wood, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florissant, MO
National Provider Identifier
1760475974
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000820 Issued in MO
Practice address
662 Saint Ferdinand St
Florissant, MO 63031-5125
Phone
(314) 921-1020
Fax
(314) 921-2450
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 000820 MO Primary

Addresses

Primary practice location

662 Saint Ferdinand St
Florissant, MO 63031-5125

Mailing address

PO Box 771470
Saint Louis, MO 63177-2470
Phone (314) 989-0300

Other identifiers 1

IdentifierTypeStateIssuer
304708514MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2? Health Information Exchange (HIE) Barnes Jewish St Peters Hospital Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000020 MO Practitioner - Podiatry 8729058557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Step Foot and Ankle Centers, Inc.Group PAC ID 5395738207, 29 clinicians

Practice addresses (Care Compare)

3445 Bridgeland Dr
Bridgeton, MO 63044-2604
Phone (314) 739-7100

662 Saint Ferdinand St
Florissant, MO 63031-5125
Phone (314) 909-1920

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions17
Removal of nail tissue803
Removal or shaving of skin growth410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000820MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Foot & Ankle Surgery Inc Foot & Ankle Surgery Past Accepting new patients
Next Step Foot and Ankle Centers Inc Foot & Ankle Surgery Past Accepting new patients
Suburban Foot Care LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samwooddpm@samueltwooddpm.kareodirect.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2?

Organizations & group practices 17

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.

View all 17

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1760475974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771470",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631772470",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315125",
            "telephone_number": "314-921-1020",
            "fax_number": "314-921-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SAMUEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304708514",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2?",
            "affiliation": "Y",
            "affiliationName": "Barnes Jewish St Peters Hospital Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Hospital Dr",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.