Individual provider Active NPI

Susan Patricia King, DPM

  • Foot & Ankle Surgery Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1467665109
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1869456 Issued in MI
Practice address
21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Phone
(248) 478-1150
Fax
(248) 478-1156
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 1869456 MI Primary

Addresses

Primary practice location

21111 Middlebelt Rd
Farmington Hills, MI 48336-5549

Mailing address

21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Phone (248) 478-1150

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
I20100924001358 MI Practitioner - Podiatry 7517083751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Specialists PCGroup PAC ID 7517030125, 3 clinicians
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

11650 Belleville Rd
Belleville, MI 48111-3380
Phone (734) 699-2400

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions1-10
Removal of nail tissue499
Removal or shaving of skin growth133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1869456MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 30, 2019 Accepting new patients
Foot Specialists PC Podiatrist CurrentSince Sep 1, 2010 Accepting new patients
Foot Specialists PC Podiatrist CurrentSince Sep 1, 2010 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

18100 Oakwood Blvd
Ste 312
Dearborn, MI 48124
Phone (313) 438-7900

21111 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 478-1150

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

10798 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-6671

11650 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 325-2443

Interoperability endpoints

  • Direct secure messaging: sking1241661@epic00.shdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1467665109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21111 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365549",
            "telephone_number": "248-478-1150",
            "fax_number": "248-478-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21111 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365549",
            "telephone_number": "248-478-1150",
            "fax_number": "248-478-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSAN",
        "middle_name": "PATRICIA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "1869456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.