Individual provider Active NPI

Roger L Deyoung, D.P.M.

  • Foot Surgery Podiatrist
  • Muskegon, MI
National Provider Identifier
1396702098
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901001599 Issued in MI
Practice address
561 Seminole Rd
Muskegon, MI 49444-3719
Phone
(231) 733-1111
Fax
(231) 733-1144
NPI assigned
Apr 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5901001599 MI Primary

Addresses

Primary practice location

561 Seminole Rd
Muskegon, MI 49444-3719

Mailing address

561 Seminole Rd
Muskegon, MI 49444-3719
Phone (231) 733-1111

Other identifiers 1

IdentifierTypeStateIssuer
4856110630OtherMIBLUE CROSS BLUE SHIELD

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
I20050309000173 MI Practitioner - Podiatry 0547226672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Foot and Ankle Associates PCGroup PAC ID 2062474778, 5 clinicians

Practice addresses (Care Compare)

561 Seminole Rd
Norton Shores, MI 49444-3719
Phone (231) 733-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.52 of 100Reported as group
Quality
62.33
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue68
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Foot & Ankle Associates P.C. Foot Surgery CurrentSince Jul 2, 1991 Accepting new patients

Locations

561 Seminole Rd
Norton Shores, MI 49444
Phone (231) 733-1111

Interoperability endpoints

  • Direct secure messaging: deyoung@shorelinefaa.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396702098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443719",
            "telephone_number": "231-733-1111",
            "fax_number": "231-733-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443719",
            "telephone_number": "231-733-1111",
            "fax_number": "231-733-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "ROGER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901001599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4856110630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.