Alan R Warren, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

AW400236 Issued in MI

Practice address

24836 Harper Ave
St Clair Shores, MI 48080-1241

Phone

(586) 778-0400

Fax

(586) 778-5263

NPI assigned

Nov 2, 2005

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awarren1157042@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan R. Warren, D.P.M.

  dba Kelly Podiatry

  • Foot Surgery Podiatrist
  • Saint Clair Shores, MI
  • NPI 1518144336
  NPD Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1033100813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24836 HARPER AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801241",
            "telephone_number": "586-778-0400",
            "fax_number": "586-778-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24836 HARPER AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801241",
            "telephone_number": "586-778-0400",
            "fax_number": "586-778-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "AW400236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4855053930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Walz, CP, BOCO
• Magdy George Wanis, MD
• Agnes Ward, MA, LLP
• Paul D Ward, PHD, LP
• Donna Warner Manczak, PHD
• Ashanti Washington
• Wayne County Home Care LLC
• Waypointe Internal Medicine, P.C.
• WBH NCC #1, LLC (ShorePointe Nursing Center)
• Amanda Lynne Weidner, PT

• Podiatrist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.