Individual provider Active NPI

Matthew P Hansen, DPM

  • Podiatrist
  • Chesterfield, MI
National Provider Identifier
1174593735
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002044 Issued in MI
Practice address
32743 23 Mile Rd Ste 110
Chesterfield, MI 48047-2082
Phone
(586) 725-3444
Fax
(586) 725-0984
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 5901002044 MI Primary

Addresses

Primary practice location

32743 23 Mile Rd Ste 110
Chesterfield, MI 48047-2082

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

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
I20040729000707 MI Practitioner - Podiatry 6305816083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Foot and Ankle Institute PLLCGroup PAC ID 1557323904, 15 clinicians

Practice addresses (Care Compare)

32743 23 Mile Rd
Suite 110
Chesterfield, MI 48047-2082
Phone (586) 725-3444

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score
68.24 of 100Reported as individual
Quality
33.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of skin lesions252
Removal of nail tissue767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002044MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Foot & Ankle Institute PLLC Podiatrist CurrentSince Oct 2, 2006 Accepting new patients
Great Lakes Foot & Ankle Institute PLLC Current Accepting new patients
Great Lakes Foot & Ankle Institute PLLC Podiatrist CurrentSince Oct 2, 2006 Accepting new patients
Foot Healthcare Associates, PC Podiatrist Past Accepting new patients
General Hosp Medical Assoc, P.C. Past Accepting new patients

Locations

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3202

32743 23 Mile Rd
Ste 110
Chesterfield, MI 48047
Phone (586) 404-9703

32743 23 Mile Rd
Ste 210
Chesterfield, MI 48047

43900 Garfield Rd
Ste 140
Clinton Twp, MI 48038

2841 Monroe St
Ste 200
Dearborn, MI 48124

4190 24th Ave
Ste 102
Fort Gratiot, MI 48059

46591 Romeo Plank Rd
Ste 111A
Macomb, MI 48044

36622 Green St
New Baltimore, MI 48047
Phone (313) 725-3444

1135 W University Dr
Ste 305
Rochester Hls, MI 48307
Phone (248) 651-0162

13350 24 Mile Rd
Ste 600
Shelby Township, MI 48315

Interoperability endpoints

  • Direct secure messaging: mhansen255307@direct.hfhs.org

Organizations & group practices 6

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 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1174593735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32743 23 MILE RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472082",
            "telephone_number": "586-725-3444",
            "fax_number": "586-725-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.