Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael S Fedotin, MD

Individual provider Gastroenterology Physician · NPI 1447256037

Michael S Fedotin, MD is a Gastroenterology Physician in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2005.

Licensed in
KS, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2330 E Meyer Blvd Ste 301
Kansas City, MO 64132-1132
Phone: (816) 333-5424
Fax: (816) 822-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence R3526 (MO)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 14275 (KS)

Record details

NPI number1447256037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 25, 2016

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