Individual provider Active NPI

Christopher Michael Fallu, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
National Provider Identifier
1487678686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
CF001733 Issued in MI
Practice address
6795 W Vernor Hwy
Detroit, MI 48209-1551
Phone
(313) 842-3388
Fax
(313) 842-3388
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CF001733 MI Primary

Addresses

Primary practice location

6795 W Vernor Hwy
Detroit, MI 48209-1551

Mailing address

6795 W Vernor Hwy
Detroit, MI 48209-1551
Phone (313) 842-3388

Other identifiers 1

IdentifierTypeStateIssuer
4173486MedicaidMI

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
I20081209000439 MI Practitioner - Podiatry 8628139680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6795 W Vernor Hwy
Detroit, MI 48209-1551
Phone (313) 842-3388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CF001733MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher M. Fallu DPM, PC CurrentSince Jul 1, 1997 Accepting new patients

Locations

6795 W Vernor Hwy
Detroit, MI 48209
Phone (313) 842-3388

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487678686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091551",
            "telephone_number": "313-842-3388",
            "fax_number": "313-842-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091551",
            "telephone_number": "313-842-3388",
            "fax_number": "313-842-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLU",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "CF001733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173486",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.