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MICHAEL S FEDOTIN MD
NPI 1447256037
Internal Medicine - Gastroenterology in Kansas City, MO

Active since June 28, 2005
2330 E MEYER BLVD, SUITE 301, KANSAS CITY, MO 64132(816) 333-5424(816) 822-0870 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael S Fedotin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL S FEDOTIN MD (NPI 1447256037) is an individual gastroenterology provider in Kansas City, Missouri, licensed in Missouri (R3526) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1447256037
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL S FEDOTINCredential: MD
Location Address2330 E MEYER BLVD, SUITE 301Kansas City, MO 64132-1132
Mailing Address2330 E Meyer Blvd, Suite 301Kansas City, MO 64132-1132 · (816) 333-5424 · Fax (816) 822-0870
Phone(816) 333-5424
Fax(816) 822-0870
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1447256037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MO · R3526✔ Licensed in KS · 14275
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2330 E MEYER BLVD, Kansas City, MO 64132
Open in Google Maps ↗

Other Identifiers 5

Other100003018Rr Medicare
Medicare UPINC51924MO
Medicaid100005900AKS
Medicaid200079309MO
Medicare PIN6593297MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROSA ELIZABETH TURCIOS M.D.
Surgery (Surgical Critical Care)
2330 E MEYER BLVD, STE T209
KANSAS CITY, MO 64132
Jackson County (816) 235-3932
DR. JONATHAN D CHILTON M. D.
Neurological Surgery
2330 E MEYER BLVD, SUITE T411
KANSAS CITY, MO 64132
Jackson County (816) 363-2500
MICHAEL S FEDOTIN & B WILLIAM GINSBERG PA
Internal Medicine (Gastroenterology)
2330 E MEYER BLVD, SUITE 301
KANSAS CITY, MO 64132
Jackson County (816) 333-5424
BROOKLYN RENEE BRENDE ACCNS-AG
Nurse Practitioner (Family)
2330 E MEYER BLVD
KANSAS CITY, MO 64132
Jackson County (816) 333-1919
MICHAEL J CONNOR MD
Internal Medicine (Gastroenterology)
2330 E MEYER BLVD, SUITE 301
KANSAS CITY, MO 64132
Jackson County (913) 234-7600
DR. GEOFFREY LEIGH BLATT M. D.
Neurological Surgery
2330 E MEYER BLVD, SUITE T411
KANSAS CITY, MO 64132
Jackson County (816) 363-2500
MRS. SAMANTHA KAYE IRWIN NP
Nurse Practitioner (Family)
2330 E MEYER BLVD
KANSAS CITY, MO 64132
Jackson County (816) 756-2651
SARAH KOST
Nurse Practitioner
2330 E MEYER BLVD
KANSAS CITY, MO 64132
Jackson County (816) 523-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fedotin's NPI number?

The NPI number for Michael Fedotin is 1447256037. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Michael Fedotin located?

Michael Fedotin practices at 2330 E Meyer Blvd Suite 301, Kansas City, MO 64132. The listed phone number is (816) 333-5424.

What is Michael Fedotin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Michael Fedotin was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.