Individual provider Active NPI

Alan J. Bloch, DPM

  • Primary Podiatric Medicine Podiatrist
  • Northville, MI
National Provider Identifier
1477551893
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
5901001851 Issued in MI
Practice address
215 E Main St Ste 202a
Northville, MI 48167-1685
Phone
(248) 449-7156
Fax
(248) 277-5147
NPI assigned
Jul 9, 2005
Reactivated
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 5901001851 MI Primary

Addresses

Primary practice location

215 E Main St Ste 202a
Northville, MI 48167-1685

Mailing address

215 E Main St Ste 202a
Northville, MI 48167-1685
Phone (248) 449-7156

Other identifiers 1

IdentifierTypeStateIssuer
4453819MedicaidMI

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
I20070524000418 MI Practitioner - Podiatry 7517064694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 E Main St
Suite 202a
Northville, MI 48167-1681
Phone (248) 798-3350

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions1-10
Removal of nail tissue167
Removal or shaving of skin growth69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001851MIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC Primary Podiatric Medicine CurrentSince Jul 1, 2010 Accepting new patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Sep 4, 2021 Accepting new patients
Envision Medical Group PLLC CurrentSince Jul 1, 2010 Accepting new patients
Larry Weiss DPM PC PastSince Jun 13, 2009 Accepting new patients
Main Street Family Medicine P C Past Accepting new patients
Bazzi Podiatry PastSince Jun 1, 2023 Accepting new patients

Locations

422 N Center St
Northville, MI 48167
Phone (248) 348-1131

422 N Center St
#B
Northville, MI 48167
Phone (248) 449-7156

422 N Center St
Ste B
Northville, MI 48167
Phone (248) 449-7156

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

29409 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 471-0675

12660 10 Mile Rd
Ste C
South Lyon, MI 48178
Phone (248) 270-8081

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

12660 10 Mile Rd
Ste B
South Lyon, MI 48178
Phone (248) 486-1444

620 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 624-4511

Interoperability endpoints

  • Direct secure messaging: abloch1117864@direct.hfhs.org
  • Direct secure messaging: abloch@direct.dmc.org

Organizations & group practices 7

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 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": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1477551893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST STE 202A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671685",
            "telephone_number": "248-449-7156",
            "fax_number": "248-277-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST STE 202A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671685",
            "telephone_number": "248-449-7156",
            "fax_number": "248-277-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "ALAN",
        "middle_name": "J.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4453819",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.