Individual provider Active NPI

Ned Broder Hirsch, DPM

  • Podiatrist
  • Novi, MI
National Provider Identifier
1275508269
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001791 Issued in MI
Practice address
30750 Tanglewood Dr
Novi, MI 48377-1589
Phone
(248) 568-2470
NPI assigned
Feb 22, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001791 MI Primary

Addresses

Primary practice location

30750 Tanglewood Dr
Novi, MI 48377-1589

Mailing address

30750 Tanglewood Dr
Novi, MI 48377-1589
Phone (248) 568-2470

Other identifiers 3

IdentifierTypeStateIssuer
480F372880OtherMIBLUE CROSS BLUE SHIELD
3394419MedicaidMI
480023913OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050105000787 MI Practitioner - Podiatry 7618925728 Practice locations: Novi, MI
I20090729000130 CA Practitioner - Podiatry 7618925728 Practice locations: Palm Springs, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E Barna DPM & Associates PC Podiatrist Current Accepting new patients
Labaza Eyecare, P.C. Past Accepting new patients
Steven R Migdalewicz DPM PC Podiatrist PastSince Jan 1, 2007 Accepting new patients

Locations

7445 Allen Rd
Ste 280
Allen Park, MI 48101
Phone (248) 569-2695

30671 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 588-8000

17515 W 9 Mile Rd
Ste 340
Southfield, MI 48075
Phone (248) 569-2695

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1275508269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30750 TANGLEWOOD DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771589",
            "telephone_number": "248-568-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30750 TANGLEWOOD DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771589",
            "telephone_number": "248-568-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "NED",
        "middle_name": "BRODER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F372880",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3394419",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480023913",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.