Individual provider Active NPI

Jodie Sengstock, DPM

  • Podiatrist
  • West Bloomfield, MI
National Provider Identifier
1568452001
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001814 Issued in MI
Practice address
2300 Haggerty Rd
Suite 1175
West Bloomfield, MI 48323-2184
Phone
(248) 624-8338
Fax
(248) 926-9498
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001814 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 1175
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Suite 1175
West Bloomfield, MI 48323-2184
Phone (248) 624-8338

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
I20110512000037 MI Practitioner - Podiatry 7012193824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as group
Quality
78.24
Promoting interoperability
0
Improvement activities
40
Cost
74.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

8025 Allen Rd
Allen Park, MI 48101
Phone (313) 386-0080

245 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-2150

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1621 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 317-4153

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2300 Haggerty Rd
Ste 1175
West Bloomfield, MI 48323
Phone (248) 624-8338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1568452001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-624-8338",
            "fax_number": "248-926-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-624-8338",
            "fax_number": "248-926-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGSTOCK",
        "first_name": "JODIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.