NPIMap

Individual provider Active NPI

Michael Nirenberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crown Point, IN
National Provider Identifier
1154324531
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000746 Issued in IN
Practice address
50 W 94TH PL
Crown Point, IN 46307-1710
Phone
(219) 663-2273
Fax
(219) 662-7290
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 07000746 IN Primary

Addresses

Primary practice location

50 W 94TH PL
Crown Point, IN 46307-1710

Mailing address

1907 Redwood LN
Munster, IN 46321-5159
Phone (219) 924-3887

Other identifiers 1

IdentifierTypeStateIssuer
100202810AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.nirenberg@ffc.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000362 IN Practitioner - Podiatry 5092795732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friendly Foot Care PCGroup PAC ID 9638159809, 2 clinicians

Practice addresses (Care Compare)

50 W 94TH PL
Crown Point, IN 46307-1710
Phone (219) 663-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as individual
Quality
82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue76
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Foot Care, PC Foot & Ankle Surgery CurrentSince Jan 25, 1995 Accepting new patients

Locations

50 W 94th Pl
Crown Point, IN 46307
Phone (219) 663-2273

8500 Broadway
Ste D
Merrillville, IN 46410
Phone (219) 663-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBIBA/Endpoint/JEBIBA

Organizations & group practices 1

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 7

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1154324531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 REDWOOD LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463215159",
            "telephone_number": "219-924-3887",
            "fax_number": "219-924-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 94TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-663-2273",
            "fax_number": "219-662-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRENBERG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202810A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.nirenberg@ffc.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "eclinicalworks  HISP direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "50 W 94th Pl",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463071710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.