Individual provider Active NPI

Julie Anna Mrozek, D.P.M.

  • Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1174884845
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002557 Issued in MI
Practice address
27593 Harper Ave
Saint Clair Shores, MI 48081-1923
Phone
(586) 779-6140
Fax
(586) 779-9865
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002557 MI Primary

Addresses

Primary practice location

27593 Harper Ave
Saint Clair Shores, MI 48081-1923

Mailing address

27593 Harper Ave
Saint Clair Shores, MI 48081-1923
Phone (586) 779-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190228001816 PA Practitioner - Podiatry 5597077057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Podiatry Clinic LLCGroup PAC ID 2264771708, 3 clinicians

Practice addresses (Care Compare)

2714 Mercer Rd
New Castle, PA 16105-1422
Phone (724) 654-6660

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions18
Removal of nail tissue348
Removal or shaving of skin growth256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Podiatry Clinic LLC CurrentSince Jan 14, 2019 Accepting new patients

Locations

2714 Mercer Rd
New Castle, PA 16105
Phone (724) 654-1257

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 3

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1174884845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27593 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811923",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27593 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811923",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZEK",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.