Individual provider Active NPI

Steven K Shoemaker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Roseville, CA
National Provider Identifier
1841476397
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3540 Issued in CA
Practice address
1421 Secret Ravine Pkwy
Suite 111
Roseville, CA 95661-6045
Phone
(916) 781-3223
Fax
(916) 781-3019
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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 E3540 CA Primary

Addresses

Primary practice location

1421 Secret Ravine Pkwy
Suite 111
Roseville, CA 95661-6045

Mailing address

4120 Douglas Blvd
#306 -165
Granite Bay, CA 95746-5936
Phone (916) 781-3223

Other identifiers 1

IdentifierTypeStateIssuer
P00293318OtherCARAIL ROAD MEDICARE INDIVIDUAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060120000162 CA Practitioner - Podiatry 0244254050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3540CAMDFoot & Ankle Surgery Podiatrist
3540CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince May 11, 2024 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince May 11, 2024 Accepting new patients

Locations

12250 Herdal Dr
Auburn, CA 95603
Phone (530) 885-3222

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

576 N Sunrise Ave
Ste 230
Roseville, CA 95661
Phone (916) 961-3434

1421 Secret Ravine Pkwy
Ste 111
Roseville, CA 95661
Phone (916) 781-3223

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: steven.shoemaker.1@20181.direct.athenahealth.com
  • Direct secure messaging: steven.shoemaker.1@8493.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1841476397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DOUGLAS BLVD",
            "address_2": "#306 -165",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465936",
            "telephone_number": "916-781-3223",
            "fax_number": "916-781-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY",
            "address_2": "SUITE 111",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-781-3223",
            "fax_number": "916-781-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE INDIVIDUAL PROVIDER #",
            "identifier": "P00293318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.