Individual provider Active NPI

Rachel M Gillespie, DPM

  • Podiatrist
  • Madison Heights, MI
National Provider Identifier
1063968618
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400351 Issued in MI
Practice address
1200 W 12 Mile Rd
Madison Heights, MI 48071-4439
Phone
(248) 543-0600
Fax
(248) 543-0562
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 5901002658 MI
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X 5901400351 MI Primary

Addresses

Primary practice location

1200 W 12 Mile Rd
Madison Heights, MI 48071-4439

Mailing address

3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Phone (248) 965-2927

Other practice location 1

3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Phone (248) 965-2927

Other identifiers 1

IdentifierTypeStateIssuer
23-0264MedicaidMI

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
I20191203003053 MI Practitioner - Podiatry 0941633176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians
Advantage Foot and Ankle Specialists PLLCGroup PAC ID 2163855263, 2 clinicians

Practice addresses (Care Compare)

1200 W Twelve Mile Rd
Preferred Medical Group
Madison Heights, MI 48071-4439
Phone (248) 543-0600

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

3055 Hilton Rd
Suite 3
Ferndale, MI 48220-1096
Phone (248) 965-2927

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue276
Removal or shaving of skin growth175
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002658MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Durable Medical Equipment & Medical Supplies CurrentSince Sep 1, 2020 Accepting new patients
Advantage Foot and Ankle Specialists PLLC Podiatrist CurrentSince Jan 1, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2020 Accepting new patients

Locations

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

3055 Hilton Rd
Ste C
Ferndale, MI 48220
Phone (248) 547-2450

3055 Hilton Rd
Ste 3
Ferndale, MI 48220
Phone (248) 965-2927

1200 W 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 291-5236

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

Interoperability endpoints

  • Direct secure messaging: rachel.gillespie.1@26235.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1063968618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 HILTON RD STE C",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201096",
            "telephone_number": "248-965-2927",
            "fax_number": "248-965-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714439",
            "telephone_number": "248-543-0600",
            "fax_number": "248-543-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Hilton Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201096",
            "country_code": "US",
            "telephone_number": "248-965-2927",
            "fax_number": "248-965-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "RACHEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002658",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23-0264",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.