Individual provider Active NPI

Edmund Joseph Kowalchick Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1326043316
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001446 Issued in MI
Practice address
44250 Garfield Rd
Ste 160
Clinton Township, MI 48038-1150
Phone
(586) 228-2255
Fax
(586) 228-2740
NPI assigned
Jun 16, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X EK001446 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001446 MI Primary

Addresses

Primary practice location

44250 Garfield Rd
Ste 160
Clinton Township, MI 48038-1150

Mailing address

44250 Garfield Rd
Ste 160
Clinton Township, MI 48038-1150
Phone (586) 228-2255

Other identifiers 12

IdentifierTypeStateIssuer
P00141753OtherMIRAILROAD MEDICARE
4616834MedicaidMI
104183OtherMIGREAT LAKES HEALTH PLAN
4118378OtherMIAETNA
4855050170OtherMIBLUE CROSS BLUE SHIELD
1302112002OtherMICIGNA
4616834OtherMIMOLINA
4855050170OtherMIBLUE CARE NETWORK
C1995OtherMIMCARE
U11976OtherMIHEALTH ALLIANCE PLAN
1221070004OtherMIWELLNESS
102448OtherMIPREFERRED/CARE CHOICES

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
I20040820000574 MI Practitioner - Podiatry 3375516743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care Rehab LLCGroup PAC ID 2466423637, 12 clinicians
Michigan Foot and Ankle Institute PCGroup PAC ID 2567435035, 3 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

31370 Harper Ave
Saint Clair Shores, MI 48082-2450

44250 Garfield Rd
Suite 160
Clinton Township, MI 48038-7420
Phone 586228225511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.45 of 100Reported as individual
Quality
67.79
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue432
Removal of skin lesions1-10
Removal of nail tissue88
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EK001446MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Michigan Foot & Ankle Institute PC Podiatrist CurrentSince Jul 1, 2004 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation Foot & Ankle Surgery CurrentSince Dec 1, 2024 Accepting new patients

Locations

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

44250 Garfield Rd
Ste 160
Clinton Twp, MI 48038
Phone (586) 228-2255

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

Interoperability endpoints

  • Direct secure messaging: edmund.kowalchick@mfa.ssdirect.aprima.com
  • Direct secure messaging: ekowalchick63499@direct.hfhs.org

Organizations & group practices 5

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1326043316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381150",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381150",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCHICK",
        "first_name": "EDMUND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-09-29",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "EK001446",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00141753",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4616834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "104183",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4118378",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4855050170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1302112002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "4616834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "4855050170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C1995",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "U11976",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS",
            "identifier": "1221070004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED/CARE CHOICES",
            "identifier": "102448",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.