Guy Richard Pupp, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

GP000690 Issued in MI

Practice address

22250 Providence Dr Ste 100
Southfield, MI 48075-6209

Phone

(248) 424-8637

Fax

(248) 424-8663

NPI assigned

Feb 24, 2006

Last updated

Mar 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Podiatry

Education

Temple University School of Medicine, 1973

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)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score

60.86 of 100Reported as group

Quality

78.24

Promoting interoperability

0

Improvement activities

40

Cost

74.63

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpupp1145188@direct.hfhs.org

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.

• Matthew D Andrews DPM PC

  dba Atlas Foot, Ankle and Wound Care

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1992363097
  Medicare reassignment Care Compare group NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Foot & Ankle Institute of Michigan PLLC

  • Podiatrist
  • Southfield, MI
  • NPI 1821512930
  Authorized official Same address or phone
• Lakeview Podiatry Assoc P C

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
  • NPI 1518992536
  Authorized official Same address or phone
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Comprehensive Foot and Ankle Centers of Michigan LLC

  • Foot & Ankle Surgery Podiatrist
  • Farmington Hills, MI
  • NPI 1235321407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1467428045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756209",
            "telephone_number": "248-424-8637",
            "fax_number": "248-424-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756209",
            "telephone_number": "248-424-8637",
            "fax_number": "248-424-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPP",
        "first_name": "GUY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "GP000690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OH 27788",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4275305",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP PROVIDER #",
            "identifier": "T34213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER #",
            "identifier": "479116001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulmonary, Internal and Emergency Medicine and Radiology Asso
• Pulsar Medical Associates PC
• Pulsemed Equipment and Supplies Inc
• Subin Punnen, MD
• Pupp and Associates Podiatry PLLC
• Sarah M Purcell, MS, RDS, IBCLC
• Pure Health of Michigan
• Pure Performance Orthopedics & Sports Medicine
• Pure Psychiatry of Michigan PLLC
• Pure Reflections Counseling Center

• Foot & Ankle Surgery Podiatrist in Southfield, MI
• Providers in Southfield, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.