Individual provider Active NPI

Paul James Constantino, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Royal Oak, MI
National Provider Identifier
1598161564
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002554 Issued in MI
Practice address
2530 Crooks Rd Ste 1
Royal Oak, MI 48073-3300
Phone
(248) 435-4777
Fax
(248) 435-3374
NPI assigned
Nov 18, 2014
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 5901002554 MI Primary

Addresses

Primary practice location

2530 Crooks Rd Ste 1
Royal Oak, MI 48073-3300

Mailing address

2530 Crooks Rd Ste 1
Royal Oak, MI 48073-3300
Phone (248) 435-4777

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
I20191125000309 MI Practitioner - Podiatry 1052605532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David E. Beneson D.P.M., P.C.Group PAC ID 9739212820, 2 clinicians

Practice addresses (Care Compare)

2530 Crooks Rd
Suite 1
Royal Oak, MI 48073-3300
Phone (248) 435-4777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue159
Removal or shaving of skin growth146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Beneson D.P.M., P.C. Foot & Ankle Surgery CurrentSince Nov 1, 2019 Accepting new patients

Locations

2530 Crooks Rd
Ste 1
Royal Oak, MI 48073
Phone (248) 435-4777

Interoperability endpoints

  • Direct secure messaging: pconstantino1123761@direct.hfhs.org
  • Direct secure messaging: pconstantino769595@direct.hfhs.org

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 3

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1598161564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD STE 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733300",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD STE 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733300",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.