Individual provider Active NPI

Michael Alan Klein, DPM

  • Podiatrist
  • Laurel, MD
National Provider Identifier
1598706590
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1302 Issued in MD
Practice address
14440 Cherry Lane CT
Suite # 104
Laurel, MD 20707-4946
Phone
(301) 953-3668
Fax
(301) 953-3854
NPI assigned
Jun 9, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1302 MD Primary

Addresses

Primary practice location

14440 Cherry Lane CT
Suite # 104
Laurel, MD 20707-4946

Mailing address

534 Winding Rose Dr
Rockville, MD 20850-2869
Phone (301) 953-3668

Other identifiers 1

IdentifierTypeStateIssuer
001504100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040805000399 DC Practitioner - Podiatry 0547231896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurel Foot and Ankle Center, LLCGroup PAC ID 7113980509, 4 clinicians
Northern Virginia Foot and Ankle Associates, LLCGroup PAC ID 8022089374, 2 clinicians

Practice addresses (Care Compare)

14440 Cherry Lane CT
Suite 104
Laurel, MD 20707-4946
Phone (301) 953-3668

8320 Old Courthouse Rd
Suite 304
Vienna, VA 22182-3831
Phone (703) 734-1311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue53
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1302MDMDPodiatrist
01302MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Foot & Ankle Associates LLC Podiatrist CurrentSince Jun 1, 2004 Accepting new patients
Laurel Foot and Ankle Center, LLC Podiatrist CurrentSince Jun 1, 2000 Accepting new patients

Locations

14440 Cherry Lane Ct
Ste 104
Laurel, MD 20707
Phone (301) 358-4201

8320 Old Courthouse Rd
Ste 304
Vienna, VA 22182
Phone (703) 734-1311

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1598706590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WINDING ROSE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502869",
            "telephone_number": "301-953-3668",
            "fax_number": "301-953-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE # 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-953-3668",
            "fax_number": "301-953-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001504100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.