Active NPI
Michele Summers Colon, D.P.M.
- Podiatrist
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N007219
- Practice address
- 180 Old Loudon Rd
Latham, NY 12110-3905 - Phone
- (518) 608-4587
- Fax
- (518) 608-4768
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4053 | CA | |
| Podiatrist | 213E00000X | N007219 | NY | Primary |
Addresses
Primary practice location
180 Old Loudon Rd
Latham, NY 12110-3905
Mailing address
33 Cornell Ave
Red Hook, NY 12571-1000
Phone (626) 315-5434
Other practice location 1
3503 Lexington Ave
El Monte, CA 91731-2607
Phone (626) 442-1223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990005019 | Other | RAILROAD MEDICARE | |
| 000E40530 | Medicaid | CA |
Other names 1
- Dr. Michele Colon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920000369 | CA | Practitioner - Podiatry | 4981638038 | Reassigns benefits to 1 organization |
| I20220321000270 | NY | Practitioner - Podiatry | 4981638038 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foot Forward Podiatry PCRichard T Bauer III DPM PLLC
Practice addresses (Care Compare)
1526 New Haven Ave
Far Rockaway, NY 11691-5148
Phone (646) 921-0907
180 Old Loudon Rd
Latham, NY 12110-3905
Phone (518) 608-4587
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 151 |
| Removal of nail tissue | 5347 |
| Removal or shaving of skin growth | 1244 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4053 | CA | MD | Professional Counselor |
| N007219 | NY | MD | Podiatrist |
| E4053 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Forward Podiatry PC | Podiatrist | Current | Accepting new patients |
| Carrasco Podiatry Corporation | Podiatrist | Current | Accepting new patients |
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients | |
| Richard T Bauer III DPM PLLC | Podiatrist | Current | Accepting new patients |
| Rite Medical PLLC | Current | Accepting new patients | |
| Foot Forward Podiatry, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Convalescent Podiatry Care | Podiatrist | Past | Accepting new patients |
| James F Eggold | Podiatrist | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
250 Skillman St
Ste 202
Brooklyn, NY 11205
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
180 Old Loudon Rd
Latham, NY 12110
Phone (518) 608-4587
75 Washington St
Poughkeepsie, NY 12601
Phone (845) 790-7990
21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663
918 James St
#13282
Syracuse, NY 13203
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701
Organizations & group practices 10
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.
-
- Foot & Ankle Surgery Podiatrist
- Latham, NY
- NPI 1295169761
NY, Podiatrist
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Podiatrist
- Lakewood, CA
- NPI 1568576528
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1104152552
Foot & Ankle Surgery
-
- Podiatrist
- Riverside, CA
- NPI 1720276058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1376578997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CORNELL AVE",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711000",
"telephone_number": "626-315-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 OLD LOUDON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103905",
"telephone_number": "518-608-4587",
"fax_number": "518-608-4768"
}
],
"practiceLocations": [
{
"address_1": "3503 Lexington Ave",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917312607",
"country_code": "US",
"telephone_number": "626-442-1223",
"fax_number": "626-442-0439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLON",
"first_name": "MICHELE",
"middle_name": "SUMMERS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4053",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N007219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "990005019",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E40530",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "COLON",
"prefix": "DR.",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.