Active NPI
Michael J Nute, DPM
- Podiatrist
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 778
- Practice address
- 7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845 - Phone
- (262) 764-5595
- Fax
- (262) 764-9314
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 778 | WI | Primary |
Addresses
Primary practice location
7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Mailing address
7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone (262) 764-5595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480026197 | Other | WI | RR MEDICARE # |
| 43225200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060213000514 | WI | Practitioner - Podiatry | 7113932120 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
10222 74TH St
Suite 211
Kenosha, WI 53142-6810
Phone (262) 925-5020
1757 B Milwaukee Avnue
Burlington, WI 53105-9458
Phone (262) 764-5595
5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717
7137 236TH Ave
Suite 101
Salem, WI 53168-8975
Phone (262) 925-5060
9809 39TH Ave
Suite 2
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080
Hospital & facility affiliations
- Froedtert South Inc.
- Aurora Medical Center Kenosha
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Orthopaedics SC | Current | Accepting new patients | |
| Comprehensive Orthopaedics SC | Current | Accepting new patients | |
| Horizon Home Care & Hospice, Inc. | Past | Accepting new patients | |
| Ronald Z. Arnold & Steven M. Waldman PTRS | Podiatrist | Past | Accepting new patients |
Locations
1757 Milwaukee Ave
#B
Burlington, WI 53105
Phone (262) 764-5595
7401 104th Ave
#110
Kenosha, WI 53142
Phone (262) 764-5595
7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006
Interoperability endpoints
- michael.nute.p1@direct.comportho.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Kenosha, WI
- NPI 1194611939
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
- Podiatrist
- Milwaukee, WI
- NPI 1801992094
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1376597229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 104TH AVE",
"address_2": "SUITE 110",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427845",
"telephone_number": "262-764-5595",
"fax_number": "262-764-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 104TH AVE",
"address_2": "SUITE 110",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427845",
"telephone_number": "262-764-5595",
"fax_number": "262-764-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTE",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE #",
"identifier": "480026197",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43225200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.