Active NPI
Marianne Louise Carney, DPM
- Foot & Ankle Surgery Podiatrist
- Roseville, MI
National Provider Identifier
1225610686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901400569
- Practice address
- 20905 E 12 Mile Rd Ste 100
Roseville, MI 48066-6501 - Phone
- (586) 772-3500
- Fax
- (586) 772-6540
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901400569 | MI | Primary |
Addresses
Primary practice location
20905 E 12 Mile Rd Ste 100
Roseville, MI 48066-6501
Mailing address
20905 E 12 Mile Rd Ste 100
Roseville, MI 48066-6501
Phone (586) 772-3500
Other practice location 1
5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794
Phone (317) 297-0661 ext. 1018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20004022 | Other | RESIDENT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Warren |
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.
-
- Foot & Ankle Surgery Podiatrist
- Roseville, MI
- NPI 1447204151
Foot & Ankle Surgery, MI
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Clair Shores, MI
- NPI 1336220847
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shores Podiatry Associates PC
Practice addresses (Care Compare)
20905 E 12 Mile Rd
Suite 100
Roseville, MI 48066-6501
Phone (586) 772-3500
Hospital & facility affiliations
- Affinity Home Care, LLC
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 82 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 201 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605000161 | MI | Practitioner - Podiatry | 3678015393 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shores Podiatry Associates, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
15959 Hall Rd
Ste 109
Macomb, MI 48044
Phone (586) 772-3500
20905 E 12 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 772-3500
Interoperability endpoints
- mcarney622824@ecommunitydirect.com
- https://fhir.meditouchehr.com/api/fhir/r4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1225610686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20905 E 12 MILE RD STE 100",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480666501",
"telephone_number": "586-772-3500",
"fax_number": "586-772-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20905 E 12 MILE RD STE 100",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480666501",
"telephone_number": "586-772-3500",
"fax_number": "586-772-6540"
}
],
"practiceLocations": [
{
"address_1": "5471 Georgetown Rd Ste C",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462545794",
"country_code": "US",
"telephone_number": "317-297-0661 x1018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNEY",
"first_name": "MARIANNE",
"middle_name": "LOUISE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901400569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT",
"identifier": "20004022",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Warren",
"affiliation": "N",
"address_1": "11900 E 12 Mile Rd",
"city": "Warren",
"state": "MI",
"country_code": "US",
"postal_code": "480933400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.