Provider Type Icon

MR. KEVIN A NETTESHEIM DPM NPI 1366445314


NPI Information

NPI: 1366445314
Provider Name: MR. KEVIN A NETTESHEIM, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4305 BUTLER HILL RD STE B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 849-9009
Get Directions

MR. Kevin A Nettesheim, DPM is a foot and ankle surgery podiatrist in Saint Louis, MO with 39 years of experience. MR. Kevin A Nettesheim, DPM NPI is 1366445314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1985

The provider's business location address is:

4305 BUTLER HILL RD STE B
SAINT LOUIS, MO
ZIP 63128-718
Phone: (314) 849-9009
Fax: (314) 849-9004

The NPI 1366445314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Removal of single thickened skin growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 4/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery000531MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104946-003OTHERMISSOURIBLUE CROSS/BLUE SHIELD
2107843OTHERMISSOURIHEALTHLINK
34443980001OTHERMISSOURIDMERC/CIGNA
4T42899MEDICARE UPINMISSOURI
5308054006MEDICAIDMISSOURI
6480033520OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.