Thomas Bruce De Korte, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TD001078 Issued in MI

Practice address

1404 Bridge St
Charlevoix, MI 49720-2603

Phone

(231) 547-4662

Fax

(231) 547-3068

NPI assigned

Oct 17, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thomas Dekorte

  dba Charlevoix Foot Clinic

  • Podiatrist
  • Charlevoix, MI
  • NPI 1548445331
  Authorized official Same address or phone
• Geoffrey M Day DPM PC

  • Podiatric Clinic/Center
  • Palm Beach, FL
  • NPI 1386935070
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1639259237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "address_2": "1404 BRIDGE STREET",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497200103",
            "telephone_number": "231-547-4662",
            "fax_number": "231-547-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BRIDGE ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202603",
            "telephone_number": "231-547-4662",
            "fax_number": "231-547-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE KORTE",
        "first_name": "THOMAS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "TD001078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Cooper
• County of Charlevoix
• Craig D. Wendt, M.D.
• Jacqueline Jean Cresswell, DDS
• Daniel K Wilcox MD PC
• Michael Hubert Dennis
• Stephen Frederick Dewey, DDS
• Michael Di Martino, PSY.D.
• Darcie Jean Dohnal, MD
• Geralyn Doskoch, MD

• Podiatrist in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.