Active NPI
David W Kinscherff, DPM
- Foot & Ankle Surgery Podiatrist
- Maryville, IL
National Provider Identifier
1942280789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004012
- Practice address
- 122 E Zupan St
Maryville, IL 62062-2010 - Phone
- (618) 344-4449
- Fax
- (618) 344-4551
- NPI assigned
- Jan 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004012 | IL | Primary |
Addresses
Primary practice location
122 E Zupan St
Maryville, IL 62062-2010
Mailing address
PO Box 340
Maryville, IL 62062-0340
Phone (618) 344-4449
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011510 | Other | MO | MO MEDICARE GROUP |
| 42690 | Other | IL | GHP PIN# |
| 135306 | Other | MO | HEALTHLINK PIN# |
| 16233 | Other | MO | BC/BS OF MO - PIN# |
| 2750017 | Other | IL | UHC MIDWEST |
| 480008235 | Other | IL | RAILROAD MEDICARE PIN# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 54.52
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Center, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- kinscherff.david.001.0250008@tfac.meditab.direct-ci.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.
-
- Foot & Ankle Surgery Podiatrist
- Maryville, IL
- NPI 1912930793
-
dba Foot & Ankle Center, LLC N Ballas Rd
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1346389095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1942280789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620620340",
"telephone_number": "618-344-4449",
"fax_number": "618-344-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E ZUPAN ST",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620622010",
"telephone_number": "618-344-4449",
"fax_number": "618-344-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSCHERFF",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO MEDICARE GROUP",
"identifier": "000011510",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP PIN#",
"identifier": "42690",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PIN#",
"identifier": "135306",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MO - PIN#",
"identifier": "16233",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MIDWEST",
"identifier": "2750017",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN#",
"identifier": "480008235",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.