Individual provider Active NPI

Alexus Squires, DPM

  • Podiatrist
  • Ludington, MI
National Provider Identifier
1093227381
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400390 Issued in MI
Practice address
333 N Jebavy Dr
Ludington, MI 49431-1923
Phone
(231) 843-2690
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901400390 MI Primary

Addresses

Primary practice location

333 N Jebavy Dr
Ludington, MI 49431-1923

Mailing address

333 N Jebavy Dr
Ludington, MI 49431-1923
Phone (231) 843-2690

Other practice location 1

1708 Yakima Ave
Tacoma, WA 98405-5307
Phone (253) 426-4694

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
I20210608002651 MI Practitioner - Podiatry 0345640660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Foot and Ankle PLLCGroup PAC ID 7719386341, 2 clinicians

Practice addresses (Care Compare)

333 N Jebavy Dr
Ludington, MI 49431-1923
Phone (231) 843-2690

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions17
Removal of nail tissue571
Removal or shaving of skin growth242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Foot and Ankle PLLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Foot and Ankle Clinic of West Michigan,PC Podiatrist PastSince Nov 22, 2020 Accepting new patients

Locations

333 N Jebavy Dr
Ludington, MI 49431
Phone (231) 843-2690

4310 Leonard St NW
Ste 103
Walker, MI 49534
Phone (616) 453-0600

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.

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1093227381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-2690",
            "fax_number": "231-600-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Yakima Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055307",
            "country_code": "US",
            "telephone_number": "253-426-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "ALEXUS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.