Individual provider Active NPI

Charles J Markle, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Bloomfield, MI
National Provider Identifier
1609868876
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59000608 Issued in MI
Practice address
4318 Springhill CT
West Bloomfield, MI 48323-3135
Phone
(586) 879-5025
Fax
(248) 626-5858
NPI assigned
Aug 15, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 59000608 MI Primary

Addresses

Primary practice location

4318 Springhill CT
West Bloomfield, MI 48323-3135

Mailing address

4318 Springhill CT
West Bloomfield, MI 48323-3135
Phone (586) 879-5025

Other identifiers 2

IdentifierTypeStateIssuer
5102774MedicaidMI
1059290MedicaidMI

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
I20040818000992 MI Practitioner - Podiatry 0547233355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians
Medical Mobile Podiatry PLLCGroup PAC ID 2668601253, 4 clinicians

Practice addresses (Care Compare)

120 N Washington SQ Ofc
378 Healthdrive Podiatry Group
Lansing, MI 48933-1617
Phone (888) 964-6681

30150 Telegraph Rd
Suite 371
Bingham Farms, MI 48025-5709
Phone (734) 493-1662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue804
Removal or shaving of skin growth155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59000608MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles J Markle DPM PC Foot & Ankle Surgery CurrentSince Jan 1, 1974 Accepting new patients
Charles J Markle DPM PC Current Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Sep 1, 2021 Accepting new patients
Mitchell S. Wayne, DPM, PC Past Accepting new patients
Elder Foot Care, PC Podiatrist Past Accepting new patients
Jeri Berkowitz PLLC Past Accepting new patients

Locations

36549 Harper Ave
Ste B
Clinton Twp, MI 48035
Phone (586) 791-3150

22811 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 534-1440

120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758

Organizations & group practices 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609868876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 SPRINGHILL CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233135",
            "telephone_number": "586-879-5025",
            "fax_number": "248-626-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 SPRINGHILL CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233135",
            "telephone_number": "586-879-5025",
            "fax_number": "248-626-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "59000608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102774",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1059290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.