Individual provider Active NPI

Valerie Baskerville, DPM

  • Primary Podiatric Medicine Podiatrist
  • Troy, MI
National Provider Identifier
1518087204
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
5901001685 Issued in MI
Practice address
3310 W Big Beaver Rd
Suite 137
Troy, MI 48084-2809
Phone
(248) 792-5200
Fax
(248) 712-4214
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 5901001685 MI Primary

Addresses

Primary practice location

3310 W Big Beaver Rd
Suite 137
Troy, MI 48084-2809

Mailing address

21650 W 11 Mile Rd
Ste 202
Southfield, MI 48076-3777
Phone (248) 792-5200

Other identifiers 2

IdentifierTypeStateIssuer
0H21400OtherBCBSM
3217423MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170821000712 AL Practitioner - Podiatry 8426210576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
331ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mi Mobile Doctors, P.C. Past Accepting new patients
Integrated Physician Solutions PC PastSince Mar 26, 2017 Accepting new patients
Lake Mi Mobile Doctors PC Past Accepting new patients
At Home Health and Podiatry PLLC PastSince Nov 19, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1518087204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD",
            "address_2": "STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763777",
            "telephone_number": "248-792-5200",
            "fax_number": "248-712-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W BIG BEAVER RD",
            "address_2": "SUITE 137",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842809",
            "telephone_number": "248-792-5200",
            "fax_number": "248-712-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "VALERIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H21400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3217423",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.