Individual provider Active NPI

Isaac Cyril York, DPM

  • Foot & Ankle Surgery Podiatrist
  • Roseville, MI
National Provider Identifier
1043904436
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400595 Issued in MI
Practice address
20905 E 12 Mile Rd
Roseville, MI 48066-6501
Phone
(586) 772-3500
NPI assigned
Jun 7, 2023
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Shores Podiatry Associates PCGroup PAC ID 7012997893, 7 clinicians

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

LicenseStateTypeSpecialty
82081-875WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shores Podiatry Associates, P.C. Foot & Ankle Surgery CurrentSince Jul 1, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.