Active NPI
Valerie Baskerville, DPM
- Primary Podiatric Medicine Podiatrist
- Troy, MI
National Provider Identifier
1518087204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 5901001685
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H21400 | Other | BCBSM | |
| 3217423 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170821000712 | AL | Practitioner - Podiatry | 8426210576 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Mi Mobile Doctors, P.C. | Past | Accepting new patients | |
| Integrated Physician Solutions PC | Past | Accepting new patients | |
| Lake Mi Mobile Doctors PC | Past | Accepting new patients | |
| At Home Health and Podiatry PLLC | Past | 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.
-
- Podiatrist
- Garden City, MI
- NPI 1639463821
-
- Home Health Agency
- Southfield, MI
- NPI 1992110662
-
- Internal Medicine Physician
- Flint, MI
- NPI 1437492055
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1992057566
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.