Individual provider Active NPI

Michele Summers Colon, D.P.M.

  • Podiatrist
  • Latham, NY
National Provider Identifier
1376578997
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N007219 Issued in NY
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

Updated by the provider on Nov 4, 2024

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 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

IdentifierTypeStateIssuer
990005019OtherRAILROAD MEDICARE
000E40530MedicaidCA

Other names 1

  • Dr. Michele Colon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 PC 29 clinicians
Richard T Bauer III DPM PLLC 2 clinicians

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

ProcedureNumber of procedures
Removal of tissue151
Removal of nail tissue5347
Removal or shaving of skin growth1244
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4053CAMDProfessional Counselor
N007219NYMDPodiatrist
E4053CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry PC Podiatrist CurrentSince May 1, 2024 Accepting new patients
Carrasco Podiatry Corporation Podiatrist CurrentSince Mar 28, 2018 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Dec 18, 2023 Accepting new patients
Infinite Medical PC CurrentSince Sep 25, 2023 Accepting new patients
Richard T Bauer III DPM PLLC Podiatrist CurrentSince Sep 5, 2024 Accepting new patients
Rite Medical PLLC CurrentSince May 1, 2022 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.

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

Verify at the official NPI Registry.