Individual provider Active NPI

Seyed Sadegh Arab, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
National Provider Identifier
1477074904
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002696 Issued in MI
Practice address
21230 Dequindre Rd
Warren, MI 48091-2279
Phone
(586) 427-1000
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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 5901002696 MI Primary

Addresses

Primary practice location

21230 Dequindre Rd
Warren, MI 48091-2279

Mailing address

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (586) 427-1000

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
I20200522002593 MI Practitioner - Podiatry 2769803048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kyle W Sundblad PCGroup PAC ID 1254614332, 2 clinicians
Dr Walter B Coleman PCGroup PAC ID 5395864946, 2 clinicians

Practice addresses (Care Compare)

41400 Dequindre Rd
Suite 100
Sterling Heights, MI 48314-3751
Phone (586) 731-7873

9001 15 Mile Rd
Suite a
Sterling Heights, MI 48312-3621
Phone (586) 979-0560

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of skin lesions1-10
Removal of nail tissue1070
Removal or shaving of skin growth955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002696MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Walter B. Coleman PC Foot & Ankle Surgery CurrentSince Sep 26, 2023 Accepting new patients
Dr Kyle W Sundblad PC CurrentSince May 21, 2020 Accepting new patients
Dr. Walter B Coleman P.C. PastSince Sep 26, 2023 Accepting new patients

Locations

9001 15 Mile Rd
Ste A
Sterling Hts, MI 48312
Phone (586) 979-0560

41400 Dequindre Rd
Ste 100
Sterling Hts, MI 48314
Phone (586) 731-7873

Interoperability endpoints

  • Direct secure messaging: sarab817208@direct.hfhs.org

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1477074904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912279",
            "telephone_number": "586-427-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912279",
            "telephone_number": "586-427-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAB",
        "first_name": "SEYED SADEGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.