Individual provider Active NPI

Tyler Wayne Claveau, DPM

  • Podiatrist
  • Ludington, MI
National Provider Identifier
1184118838
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5951001044 Issued in MI
Practice address
7 Atkinson Dr Ste 113
Ludington, MI 49431-1953
Phone
(231) 583-1000
NPI assigned
Jun 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5951001044 MI Primary

Addresses

Primary practice location

7 Atkinson Dr Ste 113
Ludington, MI 49431-1953

Mailing address

7 Atkinson Dr Ste 113
Ludington, MI 49431-1953
Phone (231) 583-1000

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
I20210614000419 MI Practitioner - Podiatry 9537569520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Foot and Ankle Associates PCGroup PAC ID 2062474778, 5 clinicians

Practice addresses (Care Compare)

561 Seminole Rd
Norton Shores, MI 49444-3719
Phone (231) 733-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.52 of 100Reported as group
Quality
62.33
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue201
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001044MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Foot & Ankle Associates P.C. CurrentSince Jul 1, 2021 Accepting new patients

Locations

7 Atkinson Dr
Ste 113
Ludington, MI 49431
Phone (231) 843-3700

561 Seminole Rd
Norton Shores, MI 49444
Phone (231) 722-2713

Interoperability endpoints

  • Direct secure messaging: tclaveau443467@direct.hfhs.org
  • Direct secure messaging: tclaveau@shorelinefaa.emadirect.md

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 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": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1184118838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 113",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311953",
            "telephone_number": "231-583-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 113",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311953",
            "telephone_number": "231-583-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVEAU",
        "first_name": "TYLER",
        "middle_name": "WAYNE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-17",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.