Active NPI
Michael Grimes, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Pinole, CA
National Provider Identifier
1275500720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4413
- Practice address
- 2150 Appian Way Ste 206
Pinole, CA 94564-2520 - Phone
- (510) 724-1530
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1464 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4413 | CA | Primary |
Addresses
Primary practice location
2150 Appian Way Ste 206
Pinole, CA 94564-2520
Mailing address
2150 Appian Way Ste 206
Pinole, CA 94564-2520
Phone (510) 724-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2150 Appian Way
Suite 206
Pinole, CA 94564-2520
Phone (510) 724-1530
Merit-based Incentive Payment System (MIPS)
- Final score
- 44.7 of 100
- Quality
- 0
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 63 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1059 |
| Removal or shaving of skin growth | 731 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4413 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 1464 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinole Podiatry Group Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Lepow Podiatric Medical Associates | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Home Foot Care, LLP | Past | Accepting new patients | |
| Carolyn M. Lobo, M.D., Inc. | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients |
Locations
2150 Appian Way
Ste 206
Pinole, CA 94564
Phone (510) 724-0481
1700 San Pablo Ave
Ste E
Pinole, CA 94564
Phone (510) 724-1530
Organizations & group practices 6
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.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Surgery Physician
- Pinole, CA
- NPI 1235357450
-
- Primary Podiatric Medicine Podiatrist
- Houston, TX
- NPI 1437147634
-
- Podiatrist
- Houston, TX
- NPI 1730228925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1275500720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 APPIAN WAY STE 206",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642520",
"telephone_number": "510-724-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 APPIAN WAY STE 206",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642520",
"telephone_number": "510-724-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "MICHAEL",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1464",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.