Ankle and Foot Centers of Missouri P.C.
NPI 1790714491ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Gladstone, MO
Podiatrist, Foot & Ankle Surgery in Gladstone, Missouri, registered in NPPES in July 2006. The authorized official on file is Akilis Mike Theoharidis, DPM, President. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - podiatry.
Overview
| NPI | 1790714491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2006 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS); DME Supplier - Physician - Podiatry (MO); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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