Active NPI
Daniel Joseph Thouvenot, DPM
- Foot & Ankle Surgery Podiatrist
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005683
- Practice address
- 784 Wall St Ste C
O Fallon, IL 62269-2088 - Phone
- (618) 236-7444
- Fax
- (618) 726-2662
- NPI assigned
- Jun 2, 2013
- Last updated
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 016.005683 | IL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2013033616 | MO |
Addresses
Primary practice location
784 Wall St Ste C
O Fallon, IL 62269-2088
Mailing address
5139 Mattis Rd Ste 102
Saint Louis, MO 63128-2250
Phone (314) 909-1920
Other practice location 1
5383 State Route 154
Pinckneyville, IL 62274-3342
Phone (618) 236-7444
Other practice location 2
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 236-7444
Other practice location 3
509 Hamacher St Ste 202
Waterloo, IL 62298-1592
Phone (618) 236-7444
Other practice location 4
3445 Bridgeland Dr
Bridgeton, MO 63044-2604
Phone (314) 739-7100
Other practice location 5
3505 College Ave Ste B
Alton, IL 62002-5065
Phone (618) 462-9695
Other practice location 6
3445 Bridgeland Dr
Bridgeton, MO 63044-2604
Phone (314) 739-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12152 Tesson Ferry Rd
Saint Louis, MO 63128-1779
Phone (314) 849-7600
3505 College Ave B
Alton, IL 62002-5065
Phone (618) 462-9695
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Promoting interoperability
- 79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 94 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 581 |
| Removal or shaving of skin growth | 266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005683 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Foot & Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Next Step Foot and Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot Specialists of Kansas City, PA | Past | Accepting new patients |
Locations
3505 College Ave
Ste B
Alton, IL 62002
Phone (618) 462-9695
784 Wall St
Ste C
O Fallon, IL 62269
Phone (618) 236-7444
5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131
509 Hamacher St
Ste 202
Waterloo, IL 62298
Phone (314) 997-1777
3445 Bridgeland Dr
Bridgeton, MO 63044
Phone (314) 739-7100
5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517
Interoperability endpoints
- dan.thouvenot@nsfaaci-il.direct.office.nextgen.com
- dthouvenot@usfas.emadirect.md
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Saint Louis, MO
- NPI 1518938919
Foot & Ankle Surgery, IL
-
- Podiatrist
- Highland, IL
- NPI 1043047301
-
- Foot & Ankle Surgery Podiatrist
- Blue Springs, MO
- NPI 1871716472
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1184561136
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1245177203
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1679410633
-
- Foot & Ankle Surgery Podiatrist
- Overland Park, KS
- NPI 1689604050
-
- Durable Medical Equipment & Medical Supplies
- Lee's Summit, MO
- NPI 1760329726
-
dba Comprehensive Foot and Ankle Centers
- Podiatrist
- Liberty, MO
- NPI 1861363277
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1881031730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5139 MATTIS RD STE 102",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282250",
"telephone_number": "314-909-1920",
"fax_number": "314-909-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 WALL ST STE C",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692088",
"telephone_number": "618-236-7444",
"fax_number": "618-726-2662"
}
],
"practiceLocations": [
{
"address_1": "5383 State Route 154",
"address_purpose": "LOCATION",
"city": "Pinckneyville",
"state": "IL",
"postal_code": "622743342",
"country_code": "US",
"telephone_number": "618-236-7444",
"fax_number": "618-726-2662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 Spring St",
"address_purpose": "LOCATION",
"city": "Red Bud",
"state": "IL",
"postal_code": "622781105",
"country_code": "US",
"telephone_number": "618-236-7444",
"fax_number": "618-726-2662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 Hamacher St Ste 202",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IL",
"postal_code": "622981592",
"country_code": "US",
"telephone_number": "618-236-7444",
"fax_number": "618-726-2662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3445 Bridgeland Dr",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442604",
"country_code": "US",
"telephone_number": "314-739-7100",
"fax_number": "314-739-3199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3505 College Ave Ste B",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620025065",
"country_code": "US",
"telephone_number": "618-462-9695",
"fax_number": "618-462-9651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3445 Bridgeland Dr",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442604",
"country_code": "US",
"telephone_number": "314-739-7100",
"fax_number": "314-739-3199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOUVENOT",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-02",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005683",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2013033616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.