Jeffrey Garret Cramblett, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Brownstown TWP, MI
NPI 1104039189 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1104039189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 5901002229 (MI)
- Practice address
- 19723 Allen Rd
Brownstown TWP, MI 48183-1021 - Phone
- (734) 479-8383
- Fax
- (734) 479-8382
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
19723 Allen Rd
Brownstown TWP, MI 48183-1021
Phone (734) 479-8383
Hospital & facility affiliations
- Corewell Health Trenton Hospital
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.54 of 100
- Quality
- 78.5
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 252 |
| Removal of nail tissue | 560 |
| Removal or shaving of skin growth | 76 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090821000042 | MI | Practitioner - Podiatry | 5991859290 |
Reassigns benefits to 1 organization Practice locations: Brownstown TWP, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002229 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicki Anton Anthens DPM PC | Current |
Accepting new patients | |
| James W Hill | Foot & Ankle Surgery | Past |
Accepting new patients |
| Ali Elkhalil DPM PC | Foot & Ankle Surgery | Past |
Accepting new patients |
Locations
19723 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-8383
Interoperability endpoints
- jcramblett654126@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002229 | MI | Yes |
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
Other providers in Brownstown TWP, MI
- Karin Chaundy
- Jill Marie Ciszewski
- Complete Home Health Care, LLC
- Ronald Daniel Corne
- Brianna Courtland
- Steven Crossley
- Crossover Health Medical Group
- Custom Fit Physical Therapy PLLC
- Wael Hussein Dabaja
- Kenneth Jerome Dennis
All providers in Brownstown TWP, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.