Individual provider Active NPI

Michael P Maskill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portage, MI
National Provider Identifier
1184886111
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002313 Issued in MI
Practice address
7971 Moorsbridge Rd
Portage, MI 49024-4075
Phone
(269) 323-2094
NPI assigned
Jul 1, 2008
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002313 MI
Podiatrist 213E00000X POD1063 ME
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002313 MI Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

7971 Moorsbridge Rd
Portage, MI 49024-4075

Mailing address

7971 Moorsbridge Rd
Portage, MI 49024-4075
Phone (269) 323-2094

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
I20090810000472 MI Practitioner - Podiatry 4385710474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Restview Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

1021 Hill St
Suite 300
Three Rivers, MI 49093-2744
Phone (269) 858-3024

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD1063MEMDPodiatrist
5901002313MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Aug 24, 2009 Accepting new patients
Beacon Dowagiac Inc CurrentSince Jan 1, 2010 Accepting new patients
Three Rivers Health System, Inc CurrentSince Sep 27, 2014 Accepting new patients
Beacon Dowagiac Inc CurrentSince Jan 1, 2010 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Aug 24, 2009 Accepting new patients
Three Rivers Health System, Inc CurrentSince Sep 27, 2014 Accepting new patients
Three Rivers Health Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6701 Paw Paw Ave
Coloma, MI 49038
Phone (269) 468-6430

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

7901 S 12th St
Ste 101
Portage, MI 49024
Phone (269) 372-7200

7971 Moorsbridge Rd
Portage, MI 49024
Phone (269) 321-0929

8120 Moorsbridge Rd
Ste 101
Portage, MI 49024
Phone (269) 443-8454

1021 Hill St
Ste 300
Three Rivers, MI 49093
Phone (269) 858-2025

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1184886111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244075",
            "telephone_number": "269-323-2094",
            "fax_number": "269-323-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244075",
            "telephone_number": "269-323-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKILL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-10-23",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002313",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1063",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002313",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.