NPIMap

Individual provider Active NPI

Joshua Kazdan, D.P.M.

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1306371588
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002698 Issued in MI
Practice address
22250 Providence Dr Ste 100
Southfield, MI 48075-6209
Phone
(248) 424-8637
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002698 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 100
Southfield, MI 48075-6209

Mailing address

22250 Providence Dr Ste 100
Southfield, MI 48075-6209
Phone (482) 424-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000561 MI Practitioner - Podiatry 6103196837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Andrews DPM PCGroup PAC ID 9739415605, 14 clinicians

Practice addresses (Care Compare)

1221 S Ortonville Rd BLDG B
Ortonville Foot Ankle and Wound Clinic
Ortonville, MI 48462-8676
Phone (248) 627-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue274
Removal of skin lesions1-10
Removal of nail tissue289
Removal or shaving of skin growth64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002698MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2023 Accepting new patients
Matthew D Andrews DPM PC Foot & Ankle Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

1695 12 Mile Rd
Ste 220
Berkley, MI 48072
Phone (248) 545-6100

8596 N Canton Center Rd
Canton, MI 48187
Phone (313) 319-9299

22260 Garrison St
Dearborn, MI 48124
Phone (313) 562-9128

6071 W Outer Dr
#3
Detroit, MI 48235
Phone (313) 540-4430

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700

1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978

27207 Lahser Rd
Ste 250A
Southfield, MI 48034
Phone (248) 424-8637

1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

Interoperability endpoints

  • Direct secure messaging: joshua.kazdan.2@24172.direct.athenahealth.com
  • Direct secure messaging: joshua.kazdan.1@24172.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1306371588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756209",
            "telephone_number": "482-424-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756209",
            "telephone_number": "248-424-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZDAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.