Individual provider Active NPI

Edward Samuel Stein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
National Provider Identifier
1871596783
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000347 Issued in MO
Practice address
4201 S Cloverleaf Dr
Saint Peters, MO 63376-6438
Phone
(636) 928-1240
Fax
(636) 928-1242
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 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 Podiatrist 213ES0103X 000347 MO Primary

Addresses

Primary practice location

4201 S Cloverleaf Dr
Saint Peters, MO 63376-6438

Mailing address

4201 S Cloverleaf Dr Ste a
Saint Peters, MO 63376-6438
Phone (636) 928-1240

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
I20101026001203 MO Practitioner - Podiatry 4183647456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 S Cloverleaf Dr
Suite a
Saint Peters, MO 63376-6438
Phone (636) 928-1240

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue199
Removal of skin lesions117
Removal of nail tissue2032
Removal or shaving of skin growth713
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00347MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates Inc Foot & Ankle Surgery CurrentSince Dec 31, 1991 Accepting new patients

Locations

4201 S Cloverleaf Dr
Ste A
Saint Peters, MO 63376
Phone (314) 928-1240

4201 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (314) 567-4449

Interoperability endpoints

  • Direct secure messaging: stein.edward.003.0250010@poa.meditab.direct-ci.com

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1871596783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S CLOVERLEAF DR STE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766438",
            "telephone_number": "636-928-1240",
            "fax_number": "636-928-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S CLOVERLEAF DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766438",
            "telephone_number": "636-928-1240",
            "fax_number": "636-928-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "EDWARD",
        "middle_name": "SAMUEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.