Individual provider Active NPI

David Ralph Halstead, DPM

  • Podiatrist
  • Saint Joseph, MI
National Provider Identifier
1407843469
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DH001838 Issued in MI
Practice address
3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510
Phone
(269) 428-2440
Fax
(269) 428-0980
NPI assigned
Oct 4, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DH001838 MI Primary

Addresses

Primary practice location

3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510

Mailing address

3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510
Phone (269) 428-2440

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
I20101112000687 MI Practitioner - Podiatry 8022216936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royalton Foot and Ankle Associates PCGroup PAC ID 3173643681, 2 clinicians

Practice addresses (Care Compare)

4035 Hollywood Rd
Saint Joseph, MI 49085-9156
Phone (269) 428-2440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.92 of 100Reported as group
Quality
49.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions29
Removal of nail tissue861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DH001838MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Royalton Foot & Ankle Associates PC Podiatrist CurrentSince Jul 20, 1998 Accepting new patients

Locations

3800 Hollywood Rd
Ste 103
Saint Joseph, MI 49085
Phone (269) 428-2440

4035 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-2440

Interoperability endpoints

  • Direct secure messaging: david.halstead@rfaaa-mi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1407843469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DH001838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.