Individual provider Active NPI

Neal A Mozen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Novi, MI
National Provider Identifier
1215913694
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NM001143 Issued in MI
Practice address
26850 Providence Pkwy Ste 502
Novi, MI 48374-1267
Phone
(248) 258-0001
Fax
(248) 258-6779
NPI assigned
Dec 19, 2005
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NM001143 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 502
Novi, MI 48374-1267

Mailing address

26850 Providence Pkwy
Suite 502
Novi, MI 48374-1213
Phone (248) 258-0001

Other practice location 1

37595 7 Mile Rd Ste 370
Livonia, MI 48152-1003
Phone (248) 258-0001

Other identifiers 1

IdentifierTypeStateIssuer
2927076MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neal.mozen.1@11960.direct.athenahealth.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
I20091111000094 MI Practitioner - Podiatry 3476523242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Healthcare Associates, PCGroup PAC ID 5294705059, 8 clinicians

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 502
Novi, MI 48374-1267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions15
Removal of nail tissue23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NM001143MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healthcare Associates P.C. Foot & Ankle Surgery CurrentSince Dec 9, 1987 Accepting new patients
Foot Healthcare Associates, PC Podiatrist CurrentSince Jan 1, 1988 Accepting new patients
Foot Healthcare Associates, PC Podiatrist PastSince Jan 1, 1990 Accepting new patients
Foot Healthcare Associates, PC Podiatrist PastSince Jan 1, 1990 Accepting new patients

Locations

37595 7 Mile Rd
Ste 370
Livonia, MI 48152
Phone (248) 258-0001

26850 Providence Pkwy
Ste 502
Novi, MI 48374
Phone (248) 258-0001

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11960/brand/1/csg/1/fhir/r4
  • Direct secure messaging: neal.mozen.1@11960.direct.athenahealth.com
  • Direct secure messaging: nmozen1142320@direct.hfhs.org

Organizations & group practices 4

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1215913694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 502",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 502",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741267",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521003",
            "country_code": "US",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZEN",
        "first_name": "NEAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "NM001143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927076",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neal.mozen.1@11960.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "26850 Providence Pkwy Ste 502",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483741267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.