Individual provider Active NPI

Wendy Wrunaka Webster, DPM

  • Podiatrist
  • Detroit, MI
National Provider Identifier
1386652345
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001956 Issued in MI
Practice address
19207 Schaefer Hwy
Suite B
Detroit, MI 48235-1273
Phone
(313) 864-0740
Fax
(313) 864-0741
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001956 MI Primary

Addresses

Primary practice location

19207 Schaefer Hwy
Suite B
Detroit, MI 48235-1273

Mailing address

19207 Schaefer Hwy
Suite B
Detroit, MI 48235-1273
Phone (313) 864-0740

Other identifiers 1

IdentifierTypeStateIssuer
4271084MedicaidMI

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
I20040622000223 MI Practitioner - Podiatry 8325023567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29556 Southfield Rd
Suite 125
Southfield, MI 48076-2021
Phone (248) 864-8845

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue511
Removal or shaving of skin growth68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001956MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meer Deen DPM PC Podiatrist Past Accepting new patients
Hamid Sattar MD PC Past Accepting new patients
Webster Therapy Services LLC Past Accepting new patients
Associated Foot Ortho Health Center PC Podiatrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1386652345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19207 SCHAEFER HWY",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351273",
            "telephone_number": "313-864-0740",
            "fax_number": "313-864-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19207 SCHAEFER HWY",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351273",
            "telephone_number": "313-864-0740",
            "fax_number": "313-864-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "WENDY",
        "middle_name": "WRUNAKA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4271084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.