Active NPI
Allen S Mehler, DPM
- Podiatrist
- Livonia, MI
National Provider Identifier
1508862707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000946
- Practice address
- 14555 Levan Rd
Ste E302
Livonia, MI 48154-5083 - Phone
- (734) 591-6612
- Fax
- (734) 591-6625
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901000946 | MI | Primary |
Addresses
Primary practice location
14555 Levan Rd
Ste E302
Livonia, MI 48154-5083
Mailing address
14555 Levan Rd
Ste E302
Livonia, MI 48154-5083
Phone (734) 591-6612
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480029297 | Other | MI | RAILROAD MEDICARE |
| 4188219-13 | Medicaid | MI | |
| C7510 | Other | MI | MCARE |
| 4188219 | Other | MI | MOLINA |
| 506087 | Other | MI | CARECHOICES |
| 506087 | Other | MI | PREFERRED CHOICES |
| T97182 | Other | MI | HEALTH ALLIANCE PLAN |
| 101992 | Other | MI | GREATLAKES |
| 000000004895 | Other | MI | CAPE |
| 136148700 | Other | MI | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901000946 | MI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1508862707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "STE E302",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-591-6612",
"fax_number": "734-591-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "STE E302",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-591-6612",
"fax_number": "734-591-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLER",
"first_name": "ALLEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480029297",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4188219-13",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C7510",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "4188219",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECHOICES",
"identifier": "506087",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICES",
"identifier": "506087",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "T97182",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATLAKES",
"identifier": "101992",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE",
"identifier": "000000004895",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "136148700",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.