Individual provider Active NPI

Michael Wolf, DPM

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1457973729
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
59.000825 Issued in OH
Practice address
2139 Auburn Ave
Cincinnati, OH 45219-2989
Phone
(513) 585-2000
NPI assigned
May 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 59.000825 OH Primary

Addresses

Primary practice location

2139 Auburn Ave
Cincinnati, OH 45219-2989

Mailing address

59446 Hardy CT
New Haven, MI 48048-2059
Phone (847) 997-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250108003208 CA Practitioner - Podiatry 0345601100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians
Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

19191 Harvard Ave
Irvine, CA 92612-4670
Phone (949) 854-9500

7612 Adwen St
Downey, CA 90241-4419
Phone (562) 291-1994

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue2978
Removal or shaving of skin growth374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000825OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Aug 14, 2025 Accepting new patients
Jeffrey Demian Inc CurrentSince Jan 7, 2025 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1401 New Stine Rd
Bakersfield, CA 93309
Phone (661) 368-5926

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

11926 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 943-7156

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

920 W La Veta Ave
Orange, CA 92868
Phone (714) 633-3568

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1457973729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59446 HARDY CT",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482059",
            "telephone_number": "847-997-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192989",
            "telephone_number": "513-585-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.