Individual provider Active NPI

Michael Wenowitz, DPM

  • Foot Surgery Podiatrist
  • Lorain, OH
National Provider Identifier
1417311705
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36.003927 Issued in OH
Practice address
1740 Cooper Foster Park Rd W
Lorain, OH 44053-4201
Phone
(440) 282-1221
Fax
(440) 960-0010
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Foot Surgery Podiatrist 213ES0131X 36.003927 OH Primary

Addresses

Primary practice location

1740 Cooper Foster Park Rd W
Lorain, OH 44053-4201

Mailing address

27100 Chardon Rd
Richmond HTS, OH 44143-1116

Other practice location 1

27100 Chardon Rd
Richmond Hts, OH 44143-1116
Phone (440) 516-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190715002578 OH Practitioner - Podiatry 5092000968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1740 Cooper Foster Park Rd W
Suite B
Lorain, OH 44053-4201
Phone (440) 282-1221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
73.93
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions37
Removal of nail tissue953
Removal or shaving of skin growth631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Foot and Ankle Associates, LLC Foot Surgery CurrentSince May 28, 2019 Accepting new patients
Integrity Foot and Ankle Associates, LLC Foot Surgery CurrentSince Jul 1, 2019 Accepting new patients

Locations

36701 American Way
Unit 8A
Avon, OH 44011

1170 E Broad St
Elyria, OH 44035
Phone (440) 284-1777

1170 E Broad St
Ste 103
Elyria, OH 44035
Phone (440) 282-1221

1740 Cooper Foster Park Rd W
Ste B
Lorain, OH 44053
Phone (440) 282-1221

1740 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 282-1221

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1417311705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534201",
            "telephone_number": "440-282-1221",
            "fax_number": "440-960-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27100 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Hts",
            "state": "OH",
            "postal_code": "441431116",
            "country_code": "US",
            "telephone_number": "440-516-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENOWITZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36.003927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.