Individual provider Active NPI

Hengelberth D Montufar, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Richmond, MI
National Provider Identifier
1003875832
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
HM002127 Issued in MI
Practice address
36640 Heritage Dr
Richmond, MI 48062-1937
Phone
(586) 727-7867
Fax
(586) 727-5598
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X HM002127 MI Primary

Addresses

Primary practice location

36640 Heritage Dr
Richmond, MI 48062-1937

Mailing address

36640 Heritage Dr
Richmond, MI 48062-1937
Phone (586) 727-7867

Other identifiers 1

IdentifierTypeStateIssuer
4824819MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000700 MI Practitioner - Podiatry 8224061684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36640 Heritage Dr
Richmond, MI 48062-1937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue25
Removal of skin lesions129
Removal of nail tissue355
Removal or shaving of skin growth12
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HM002127MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Foot and Ankle Clinic P.C. Podiatrist CurrentSince Aug 13, 2012 Accepting new patients
Romeo Foot Clinic, PC Podiatrist PastSince May 1, 2007 Accepting new patients

Locations

36640 Heritage Dr
Richmond, MI 48062
Phone (586) 727-7867

Interoperability endpoints

  • Direct secure messaging: montufar.hengelberth.002.0220047@rfac.meditab.direct-ci.com
  • Direct secure messaging: hmontufar252282@direct.hfhs.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1003875832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36640 HERITAGE DR",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621937",
            "telephone_number": "586-727-7867",
            "fax_number": "586-727-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36640 HERITAGE DR",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621937",
            "telephone_number": "586-727-7867",
            "fax_number": "586-727-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTUFAR",
        "first_name": "HENGELBERTH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "HM002127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4824819",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

Verify at the official NPI Registry.