Individual provider Active NPI

Michelle McCrumb, D.P.M.

  • Podiatrist
  • Vineyard Haven, MA
National Provider Identifier
1639120926
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1675 Issued in MA
Practice address
395 State Rd
Ste3
Vineyard Haven, MA 02568-5693
Phone
(508) 696-8877
Fax
(508) 696-8871
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1675 MA Primary

Addresses

Primary practice location

395 State Rd
Ste3
Vineyard Haven, MA 02568-5693

Mailing address

395 State Rd Ste 3
Vineyard Haven, MA 02568-5693
Phone (508) 696-8877

Other identifiers 1

IdentifierTypeStateIssuer
Y70739OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040513000038 MA Practitioner - Podiatry 4082604087 Practice locations: Vineyard Haven, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

395 State Rd
Suite 3
Vineyard Haven, MA 02568-5693
Phone (508) 696-8877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.18 of 100Reported as individual
Quality
92.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675MAMDChiropractor

Interoperability endpoints

  • Direct secure messaging: mmccrumb@dmmd-ma.direct.office.nextgen.com

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1639120926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 STATE RD STE 3",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685693",
            "telephone_number": "508-696-8877",
            "fax_number": "508-696-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 STATE RD",
            "address_2": "STE3",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685693",
            "telephone_number": "508-696-8877",
            "fax_number": "508-696-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUMB",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Y70739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

Verify at the official NPI Registry.