Individual provider Active NPI

Jacob Benjamin Mechlowitz, DPM

  • Podiatrist
  • Berkley, MI
National Provider Identifier
1427609676
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400451 Issued in MI
Practice address
1695 W 12 Mile Rd
Berkley, MI 48072-2182
Phone
(248) 808-6012
NPI assigned
Sep 27, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 003928 NY
Podiatrist 213E00000X 5901400451 MI Primary

Addresses

Primary practice location

1695 W 12 Mile Rd
Berkley, MI 48072-2182

Mailing address

1695 W 12 Mile Rd
Berkley, MI 48072-2182
Phone (248) 808-6012

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
I20221021002012 MI Practitioner - Podiatry 2860868403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Andrews DPM PCGroup PAC ID 9739415605, 14 clinicians

Practice addresses (Care Compare)

1800 W Big Beaver Rd
150 Atlas Troy
Troy, MI 48084-3535
Phone (248) 808-6012

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of nail tissue196
Removal or shaving of skin growth119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400451MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Andrews DPM PC CurrentSince Jul 30, 2025 Accepting new patients
Elias H Kassab MD PLLC PastSince Oct 23, 2022 Accepting new patients

Locations

1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978

1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700

1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1427609676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722182",
            "telephone_number": "248-808-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722182",
            "telephone_number": "248-808-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHLOWITZ",
        "first_name": "JACOB",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-09-29",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003928",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.