Individual provider Active NPI

Michael Hansol Ham Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Berkeley, CA
National Provider Identifier
1053832832
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6198 Issued in CA
Practice address
3000 Colby St Ste 101104
Berkeley, CA 94705-2083
Phone
(510) 849-3800
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6198 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001013 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X SC006827 PA

Addresses

Primary practice location

3000 Colby St Ste 101104
Berkeley, CA 94705-2083

Mailing address

3000 Colby St Ste 101104
Berkeley, CA 94705-2083
Phone (510) 849-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210831002926 AZ Practitioner - Podiatry 9032453535
I20260514001080 CA Practitioner - Podiatry 9032453535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Foot and Ankle Podiatry Group IncGroup PAC ID 3173957511, 3 clinicians

Practice addresses (Care Compare)

3000 Colby St
Suite 104
Berkeley, CA 94705-2090
Phone (510) 207-6375

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue128
Removal of skin lesions11
Removal of nail tissue371
Removal or shaving of skin growth281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001013AZMDFoot & Ankle Surgery Podiatrist
E6198CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinics of Arizona Podiatrist CurrentSince Aug 9, 2021 Accepting new patients

Locations

1780 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6731

421 E Cottonwood Ln
Casa Grande, AZ 85122

1831 E Queen Creek Rd
Ste 119
Chandler, AZ 85286

1831 E Queen Creek Rd
Chandler, AZ 85286
Phone (480) 216-4395

1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061

7205 S 51st Ave
Ste 103
Laveen, AZ 85339

21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699

21300 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 374-2462

2942 N 7th Ave
Ste 102
Phoenix, AZ 85013
Phone (602) 942-0600

3540 E Baseline Rd
Ste 120
Phoenix, AZ 85042
Phone (602) 777-7970

21321 E Ocotillo Rd
Ste 103
Queen Creek, AZ 85142
Phone (480) 275-2007

1492 S Mill Ave
Ste 314
Tempe, AZ 85281
Phone (480) 736-1777

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72450

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1053832832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 101104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-849-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 101104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-849-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "MICHAEL",
        "middle_name": "HANSOL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6198",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD001013",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.