Individual provider Active NPI

Eric Steven Mendelsohn, DPM

  • Podiatrist
  • Oak Park, MI
National Provider Identifier
1649395237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
EM000833 Issued in MI
Practice address
26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063
Phone
(248) 569-1395
Fax
(248) 569-1330
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X EM000833 MI
Podiatrist 213E00000X EM000833 MI Primary

Addresses

Primary practice location

26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063

Mailing address

26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063
Phone (248) 569-1395

Other practice location 1

42370 Van Dyke Ave Ste 104
Sterling Heights, MI 48314-3487
Phone (586) 254-2211

Other practice location 2

3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone (248) 569-1395

Other identifiers 1

IdentifierTypeStateIssuer
131388833MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EM000833MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D S Lazar DPM PC Podiatrist CurrentSince Mar 20, 2017 Accepting new patients
Dr Gerard J Skrocki DPM Durable Medical Equipment & Medical Supplies PastSince Mar 20, 2017 Accepting new patients

Locations

26106 Greenfield Rd
Ste A
Oak Park, MI 48237
Phone (248) 569-1395

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649395237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26106 GREENFIELD RD STE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371063",
            "telephone_number": "248-569-1395",
            "fax_number": "248-569-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26106 GREENFIELD RD STE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371063",
            "telephone_number": "248-569-1395",
            "fax_number": "248-569-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42370 Van Dyke Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483143487",
            "country_code": "US",
            "telephone_number": "586-254-2211",
            "fax_number": "248-569-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3206 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orchard Lake",
            "state": "MI",
            "postal_code": "483241633",
            "country_code": "US",
            "telephone_number": "248-569-1395",
            "fax_number": "248-569-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "EM000833",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "EM000833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131388833",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.