Elite Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ELITE PODIATRY PC

Practice address

32910 W 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1980

Phone

(248) 996-1020

Fax

(248) 996-1023

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Alexsey Kheynson, DPMNPI 1952373201

Title

Owner President

Phone

(248) 996-1020

Specialties & licenses 1

Addresses

Other identifiers 22

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexsey Kheynson, DPM

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1952373201
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Marie Zwiebel, D.P.M

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1407080955
  Medicare reassignment Care Compare group NPD
• Gregory Ryan Bitto, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
  • NPI 1487037297
  Medicare reassignment

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1588770358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32910 W 13 MILE RD",
            "address_2": "SUITE C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341980",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32910 W 13 MILE RD",
            "address_2": "SUITE C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341980",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "KHEYNSON",
        "authorized_official_first_name": "ALEXSEY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "248-996-1020",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE PPO",
            "identifier": "144640",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770773905",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FERNANDO QUIRINDONGO BC",
            "identifier": "4858214620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497804306",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760614390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALEXSEY KHEYNSON BC",
            "identifier": "4856314380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DALEY",
            "identifier": "1598984189",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598984189",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "480H229190",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "V02502",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST ADV",
            "identifier": "025519",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134212889",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487771473",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "480F367590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FOR DALEY",
            "identifier": "4856316840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ALEX",
            "identifier": "1952373201",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4935003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FERNANDO",
            "identifier": "1134235088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT",
            "identifier": "DG0290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP FERN",
            "identifier": "V09910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST DALEY",
            "identifier": "025521",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4935012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriane E Elinski
• Destiny Elio
• Elite Management
• Elite Medical and Rehabilitation Group
• Elite Medical Rehabilitation Group Inc.
• Azusena Elizondo
• Priscilla Elizondo
• Keem Eljor
• Sarah Elkadri
• Alyssa Elkins

• Podiatrist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.