Individual provider Active NPI

Jeri Christina Berkowitz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • West Bloomfield, MI
National Provider Identifier
1598148116
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002596 Issued in MI
Practice address
5647 West Maple Road
West Bloomfield, MI 48322
Phone
(248) 855-3232
NPI assigned
Jul 1, 2015
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002596 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002596 MI Primary

Addresses

Primary practice location

5647 West Maple Road
West Bloomfield, MI 48322

Mailing address

5647 West Maple Road
West Bloomfield, MI 48322
Phone (248) 855-3232

Other practice location 1

7001 Orchard Lake Rd Ste 230B
West Bloomfield, MI 48322-3659
Phone (248) 855-3232

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mitchellwaynedpm.com

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
I20180503002082 MI Practitioner - Podiatry 3173887833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5647 W Maple Rd
West Bloomfield, MI 48322-3688
Phone (248) 855-3232

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue423
Removal of skin lesions43
Removal of nail tissue525
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002596MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot & Ankle PLLC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Premier Foot & Ankle PLLC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Jeri Berkowitz PLLC Single Specialty CurrentSince Jun 1, 2020 Accepting new patients

Locations

17900 23 Mile Rd
Ste 204
Macomb, MI 48044
Phone (586) 557-7233

5647 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 737-8066

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

Hospital & facility affiliations 2

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1598148116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 WEST MAPLE ROAD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 WEST MAPLE ROAD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Orchard Lake Rd Ste 230B",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223659",
            "country_code": "US",
            "telephone_number": "248-855-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "JERI",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002596",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mitchellwaynedpm.com",
            "affiliation": "Y",
            "address_1": "7001 Orchard Lake Rd Ste 230B",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.