Individual provider Active NPI

Brandon Semma, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, MI
National Provider Identifier
1194168195
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002615 Issued in MI
Practice address
43050 Ford Rd Ste 150
Canton, MI 48187-3359
Phone
(734) 981-7800
Fax
(734) 981-0487
NPI assigned
Apr 10, 2013
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002615 MI Primary

Addresses

Primary practice location

43050 Ford Rd Ste 150
Canton, MI 48187-3359

Mailing address

43050 Ford Rd Ste 150
Canton, MI 48187-3359
Phone (734) 981-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cantonfoot@cantonfoot.com Direct

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
I20161026002725 MI Practitioner - Podiatry 7315238615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

43050 Ford Rd
Suite 150
Canton, MI 48187-3359
Phone (734) 981-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue111
Removal of skin lesions60
Removal of nail tissue1383
Removal or shaving of skin growth395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002615MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Foot & Ankle Specialists PC Podiatrist CurrentSince Jan 1, 2019 Accepting new patients

Locations

43050 Ford Rd
Ste 150
Canton, MI 48187
Phone (734) 781-7800

Interoperability endpoints

  • Direct secure messaging: cantonfoot@cantonfoot.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1194168195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 150",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873359",
            "telephone_number": "734-981-7800",
            "fax_number": "734-981-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 150",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873359",
            "telephone_number": "734-981-7800",
            "fax_number": "734-981-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMA",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cantonfoot@cantonfoot.com",
            "affiliation": "N",
            "endpointDescription": "Canton Foot and Ankle Specialists direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Canton",
            "address_1": "43050 Ford Rd Ste 150",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481873359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.