Active NPI
Isaac Cyril York, DPM
- Foot & Ankle Surgery Podiatrist
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901400595
- Practice address
- 20905 E 12 Mile Rd
Roseville, MI 48066-6501 - Phone
- (586) 772-3500
- NPI assigned
- Jun 7, 2023
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901400595 | MI | Primary |
Addresses
Primary practice location
20905 E 12 Mile Rd
Roseville, MI 48066-6501
Mailing address
20905 E 12 Mile Rd
Roseville, MI 48066-6501
Phone (586) 772-3500
Other practice location 1
36555 26 Mile Rd
Lenox, MI 48048-3185
Phone (586) 772-3500
Other practice location 2
15959 Hall Rd Ste 210
Macomb, MI 48044-5366
Phone (586) 772-3500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520001605 | MI | Practitioner - Podiatry | 4587133442 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20905 E 12 Mile Rd
Suite 100
Roseville, MI 48066-6501
Phone (586) 772-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82081-875 | WI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shores Podiatry Associates, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
15959 Hall Rd
Ste 109
Macomb, MI 48044
Phone (586) 772-3500
20905 E 12 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 772-3500
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Roseville, MI
- NPI 1447204151
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043904436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20905 E 12 MILE RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480666501",
"telephone_number": "586-772-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20905 E 12 MILE RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480666501",
"telephone_number": "586-772-3500"
}
],
"practiceLocations": [
{
"address_1": "36555 26 Mile Rd",
"address_purpose": "LOCATION",
"city": "Lenox",
"state": "MI",
"postal_code": "480483185",
"country_code": "US",
"telephone_number": "586-772-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15959 Hall Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Macomb",
"state": "MI",
"postal_code": "480445366",
"country_code": "US",
"telephone_number": "586-772-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YORK",
"first_name": "ISAAC",
"middle_name": "CYRIL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901400595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.