Individual provider Active NPI

Tanner Coleman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gladstone, MO
National Provider Identifier
1780156687
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2020021236 Issued in MO
Practice address
407 NE 76TH Ter
Gladstone, MO 64118-1708
Phone
(816) 436-7900
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2020021236 MO Primary

Addresses

Primary practice location

407 NE 76TH Ter
Gladstone, MO 64118-1708

Mailing address

407 NE 76TH Ter
Gladstone, MO 64118-1708
Phone (816) 436-7900

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
I20200824001891 MO Practitioner - Podiatry 7911324819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Centers of Missouri PCGroup PAC ID 7214934124, 3 clinicians
Dr Jeffrey Brooks PCGroup PAC ID 6204175169, 12 clinicians

Practice addresses (Care Compare)

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

221 Bolivar St
Jefferson City, MO 65101-1572
Phone 24852821166

407 NE 76TH Ter
Gladstone, MO 64118-1708
Phone (816) 436-7900

407 NE 76TH Terrace
Gladstone, MO 64118-1708

705 N College St
Albany, MO 64402-1433
Phone (660) 726-1210

Hospital & facility affiliations

  • Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue952
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Single Specialty Current Accepting new patients
Truman Medical Center, Incorporated Single Specialty CurrentSince Oct 15, 2021 Accepting new patients
Ankle and Foot Centers of Missouri P.C. Single Specialty CurrentSince Feb 17, 2021 Accepting new patients
Truman Medical Center Incorporated Single Specialty Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Oct 15, 2021 Accepting new patients
Dr Jeffrey Brooks PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Chiropractic Healthcare Plus, PC Single Specialty Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

705 N College St
Albany, MO 64402
Phone (660) 726-3941

221 Bolivar St
Jefferson Cty, MO 65101
Phone 56129936671572

2301 Holmes St
Kansas City, MO 64108

407 NE 76th Ter
Kansas City, MO 64118
Phone (816) 436-7900

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

601 S 291 Hwy
Liberty, MO 64068
Phone (816) 429-6598

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Organizations & group practices 7

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1780156687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TANNER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2020021236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.