Individual provider Active NPI

Nadine Abbo Kastaw

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1366126005
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5951001502 Issued in MI
Practice address
16540 19 Mile Rd
Clinton Township, MI 48038-1106
Phone
(586) 286-8660
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5951001502 MI Primary

Addresses

Primary practice location

16540 19 Mile Rd
Clinton Township, MI 48038-1106

Mailing address

42384 Beechwood Dr
Sterling Heights, MI 48314-2944
Phone (248) 331-3237

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
I20230712003664 MI Order and Referring Only - PodiatryPractitioner - Podiatry 5698135473

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16540 19 Mile Rd
Clinton Township, MI 48038-1106

42384 Beechwood Dr
Sterling Heights, MI 48314-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001502MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sole Purpose Podiatry PLLC Foot & Ankle Surgery PastSince Jun 18, 2023 Accepting new patients

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1366126005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42384 BEECHWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142944",
            "telephone_number": "248-331-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16540 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTAW",
        "first_name": "NADINE",
        "middle_name": "ABBO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.