Individual provider Active NPI

Alan Stiebel, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Washington, MI
National Provider Identifier
1518926229
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AS001157 Issued in MI
Practice address
64580 Van Dyke Rd
Suite a
Washington, MI 48095-2857
Phone
(586) 752-3519
Fax
(586) 752-7046
NPI assigned
Mar 21, 2006
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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 AS001157 MI Primary

Addresses

Primary practice location

64580 Van Dyke Rd
Suite a
Washington, MI 48095-2857

Mailing address

64580 Van Dyke Rd Ste a
Washington, MI 48095-2811
Phone (586) 752-3519

Other identifiers 1

IdentifierTypeStateIssuer
1544473MedicaidMI

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
I20070425000266 MI Practitioner - Podiatry 3072596162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romeo Foot Clinic PCGroup PAC ID 5496738577, 2 clinicians

Practice addresses (Care Compare)

64580 Van Dyke Rd
Suite a
Washington, MI 48095-2811
Phone (586) 752-3519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10.83 of 100Reported as individual
Quality
21.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions72
Removal of nail tissue397
Removal or shaving of skin growth257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AS001157MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo Foot Clinic, PC Foot & Ankle Surgery CurrentSince Dec 26, 1995 Accepting new patients

Locations

15055 22 Mile Rd
Ste A1
Shelby Township, MI 48315
Phone (810) 247-2050

64580 Van Dyke Rd
Washington, MI 48095
Phone (586) 752-3519

64580 Van Dyke Rd
Ste A
Washington, MI 48095
Phone (586) 752-3519

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1518926229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD STE A",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952811",
            "telephone_number": "586-752-3519",
            "fax_number": "586-752-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD",
            "address_2": "SUITE A",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952857",
            "telephone_number": "586-752-3519",
            "fax_number": "586-752-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEBEL",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "AS001157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544473",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.