Individual provider Active NPI

Robert Monfore, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pontiac, MI
National Provider Identifier
1447563218
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002365 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 407-1532
Fax
(248) 338-5178
NPI assigned
Jul 21, 2010
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002365 MI Primary

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 407-1532

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
I20130117000436 MI Practitioner - Podiatry 3577716869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanas Foot and Ankle Specialists PLCGroup PAC ID 6103926944, 3 clinicians

Practice addresses (Care Compare)

102 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 651-2320

102 S Lakeview Ave Box
Suite 730
Sturgis, MI 49091-1947

451 Health Pkwy
Paw Paw, MI 49079-8242
Phone (800) 856-1106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
1.18 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Neal DPM Current Accepting new patients
Advanas Foot & Ankle Specialists PLC Foot & Ankle Surgery CurrentSince Jul 1, 2013 Accepting new patients

Locations

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

1508 W Centre Ave
Portage, MI 49024
Phone (269) 327-4447

102 S Lakeview Ave
Sturgis, MI 49091
Phone (269) 651-2320

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1447563218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-407-1532",
            "fax_number": "248-338-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-407-1532",
            "fax_number": "248-338-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.