Individual provider Active NPI

James Kleo Kleanthous, D.P.M.

  • Podiatrist
  • Chelsea, MI
National Provider Identifier
1063412922
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001892 Issued in MI
Practice address
140 W. Middle Street
Suite B
Chelsea, MI 48118-1293
Phone
(734) 433-2397
Fax
(734) 433-2655
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001892 MI Primary

Addresses

Primary practice location

140 W. Middle Street
Suite B
Chelsea, MI 48118-1293

Mailing address

140 W. Middle Street
Suite B
Chelsea, MI 48118-1293
Phone (734) 433-2397

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
I20080116000835 MI Practitioner - Podiatry 1254412141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 W Middle St
Suite B
Chelsea, MI 48118-1293
Phone (734) 433-2397

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue95
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001892MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kleanthous Family Foot Clinic, P.C. Podiatrist CurrentSince Oct 7, 2002 Accepting new patients
Crotty Foot Clinic P a Podiatrist Past Accepting new patients

Locations

140 W Middle St
Ste B
Chelsea, MI 48118
Phone (734) 433-2397

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1063412922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W. MIDDLE STREET",
            "address_2": "SUITE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181293",
            "telephone_number": "734-433-2397",
            "fax_number": "734-433-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W. MIDDLE STREET",
            "address_2": "SUITE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181293",
            "telephone_number": "734-433-2397",
            "fax_number": "734-433-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEANTHOUS",
        "first_name": "JAMES",
        "middle_name": "KLEO",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.