Active NPI
Sheldon L. Grossman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Kansas City, MO
National Provider Identifier
1821098427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000365
- Practice address
- 400 E Red Bridge Rd
Suite 314
Kansas City, MO 64131-4035 - Phone
- (816) 942-1795
- Fax
- (816) 942-0782
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000365 | MO | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 12-00116 | KS |
Addresses
Primary practice location
400 E Red Bridge Rd
Suite 314
Kansas City, MO 64131-4035
Mailing address
400 E Red Bridge Rd
Suite 314
Kansas City, MO 64131-4035
Phone (816) 942-1795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00741012 | Other | MO | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-00116 | KS | MD | Foot & Ankle Surgery Podiatrist |
| 000365 | MO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheldon Fleishman D.P.M., P.a. | Foot & Ankle Surgery | Past | Accepting new patients |
| Sheldon Fleishman DPM, PA | Past | Accepting new patients |
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.
-
- Foot Surgery Podiatrist
- Blue Springs, MO
- NPI 1790991172
-
- Foot & Ankle Surgery Podiatrist
- Overland Park, KS
- NPI 1659571966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1821098427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E RED BRIDGE RD",
"address_2": "SUITE 314",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314035",
"telephone_number": "816-942-1795",
"fax_number": "816-942-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E RED BRIDGE RD",
"address_2": "SUITE 314",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314035",
"telephone_number": "816-942-1795",
"fax_number": "816-942-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "SHELDON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "000365",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KS",
"license": "12-00116",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00741012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.