NPIMap

Organization Active NPI

Foot & Ankle Specialists of West Michigan P L L C

  • Primary Podiatric Medicine Podiatrist
  • Grand Rapids, MI
National Provider Identifier
1154460962
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Practice address
2144 E Paris SE
Ste 100
Grand Rapids, MI 49546
Phone
(616) 281-0666
Fax
(616) 281-0752
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lowell Weil Jr., DPM
Title
Executive Chairman
Phone
(847) 390-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

2144 E Paris SE
Ste 100
Grand Rapids, MI 49546

Mailing address

2144 East Paris Avenue SE
Suite 100
Grand Rapids, MI 49546
Phone (616) 281-0666

Other identifiers 2

IdentifierTypeStateIssuer
C12964OtherMIRAILROAD MEDICARE
0D11112OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Foot & Ankle Specialists of West Michigan P L L C Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000902 MI Part B Supplier - Clinic/Group Practice 2769475441 Receives reassigned benefits from 17 practitioners
Practice locations: Hastings, MI; Rockford, MI; Norton Shores, MI; Newaygo, MI; Holland, MI; Grand Rapids, MI; Carson City, MI; Big Rapids, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Spec of10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1195 Wilson Ave NW
Ste 200
Grand Rapids, MI 49534
Phone (616) 453-8277

14555 Levan Rd
Ste E302
Livonia, MI 48154
Phone (734) 591-6612

1450 Farr Rd
Norton Shores, MI 49444
Phone (231) 739-7606

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154460962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 EAST PARIS AVENUE SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E PARIS SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "EXECUTIVE CHAIRMAN",
        "authorized_official_telephone_number": "847-390-7666",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C12964",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0D11112",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Specialists of West Michigan P L L C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot & Ankle Specialists of West Michigan P L L C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.