Michelle Renee Jupin, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002054 Issued in MI

Practice address

641 W 9 Mile Rd
Ferndale, MI 48220-1779

Phone

(248) 548-7363

Fax

(248) 548-5304

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harvey Lefkowitz, D.P.M., P.C.

  • Podiatrist
  • Ferndale, MI
  • NPI 1316945413
  Medicare reassignment NPD
• David S Ungar DPM PC

  • Podiatrist
  • Farmington, MI
  • NPI 1891836243
  NPD (past)
• Elder Foot Care, PC

  • Primary Podiatric Medicine Podiatrist
  • West Bloomfield, MI
  • NPI 1578535019
  NPD (past)
• Jeri Berkowitz PLLC

  • Podiatric Clinic/Center
  • West Bloomfield, MI
  • NPI 1982229159
  NPD (past)
• Mitchell S. Wayne, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • West Bloomfield, MI
  • NPI 1043282346
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1659378552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201779",
            "telephone_number": "248-548-7363",
            "fax_number": "248-548-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201779",
            "telephone_number": "248-548-7363",
            "fax_number": "248-548-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUPIN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR PRIMARY LOCATI",
            "identifier": "38-2469733",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4856310140",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4617312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Nicole Jones-Brown, NP
• Ruth Jones
• Joseph S. Salerno, DPM
• Marlene O. Joshi, M.A., LLPC
• JP Health Systems LLC
• K&K Home Help Services L.L.C
• Amber Sarah Kalabat, FNP-BC
• Jennifer Marie Karew, LP-D
• Kristopher Kath
• Samwiri Ndugga Kawesa, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.