Individual provider Active NPI

Gary Alan Wasiak, DPM

  • Podiatrist
  • Highland, MI
National Provider Identifier
1275696908
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000651 Issued in MI
Practice address
2997 E Highland Rd
Highland, MI 48356-2811
Phone
(248) 887-3729
Fax
(248) 889-8910
NPI assigned
Dec 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901000651 MI
Podiatrist 213E00000X 5901000651 MI Primary

Addresses

Primary practice location

2997 E Highland Rd
Highland, MI 48356-2811

Mailing address

2997 E Highland Rd
Highland, MI 48356-2811
Phone (248) 887-3729

Other identifiers 2

IdentifierTypeStateIssuer
1062554MedicaidMI
5825393OtherMIBCBSM

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
I20080529000814 MI Practitioner - Podiatry 5991875254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as individual
Quality
61.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901000651MIMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: cfc@cfcp-mi.direct.office.nextgen.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275696908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562811",
            "telephone_number": "248-887-3729",
            "fax_number": "248-889-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562811",
            "telephone_number": "248-887-3729",
            "fax_number": "248-889-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIAK",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000651",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062554",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5825393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.