Individual provider Active NPI

Jeffrey Garret Cramblett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brownstown TWP, MI
National Provider Identifier
1104039189
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002229 Issued in MI
Practice address
19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone
(734) 479-8383
Fax
(734) 479-8382
NPI assigned
May 7, 2007
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 5901002229 MI Primary

Addresses

Primary practice location

19723 Allen Rd
Brownstown TWP, MI 48183-1021

Mailing address

19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone (734) 479-8383

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
I20090821000042 MI Practitioner - Podiatry 5991859290 Reassigns benefits to 1 organization
Practice locations: Brownstown TWP, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Anton Anthens DPM PCGroup PAC ID 8921049800, 4 clinicians

Practice addresses (Care Compare)

19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone (734) 479-8383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.54 of 100Reported as group
Quality
78.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions252
Removal of nail tissue560
Removal or shaving of skin growth76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002229MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Anton Anthens DPM PC CurrentSince Mar 1, 2016 Accepting new patients
Ali Elkhalil DPM PC Foot & Ankle Surgery PastSince Jul 11, 2009 Accepting new patients
James W Hill Foot & Ankle Surgery PastSince Mar 1, 2016 Accepting new patients

Locations

19723 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-8383

Interoperability endpoints

  • Direct secure messaging: jcramblett654126@direct.hfhs.org

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

Hospital & facility affiliations 4

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1104039189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19723 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-8383",
            "fax_number": "734-479-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19723 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-8383",
            "fax_number": "734-479-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMBLETT",
        "first_name": "JEFFREY",
        "middle_name": "GARRET",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

Verify at the official NPI Registry.