Active NPI
Gary L Stano, DPM
- Podiatrist
- Southfield, MI
National Provider Identifier
1669489449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001470
- Practice address
- 24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501 - Phone
- (248) 799-0086
- Fax
- (248) 350-1178
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001470 | MI | Primary |
Addresses
Primary practice location
24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501
Mailing address
24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501
Phone (248) 799-0086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5184125 | Medicaid | MI | |
| 4856315900 | Other | MI | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000931 | MI | Practitioner - Podiatry | 8123054871 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Traveling Physician Services PC
Practice addresses (Care Compare)
18000 W 9 Mile Rd
Suite 525
Southfield, MI 48075-4080
Phone (248) 327-6196
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.77 of 100
- Quality
- 75.13
- Promoting interoperability
- 88.5
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 707 |
| Removal or shaving of skin growth | 340 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001470 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traveling Physician Services PC | Current | Accepting new patients | |
| Integrated Visiting Physician Solutions PC | Current | Accepting new patients | |
| First Ideal Enterprises Inc. | Podiatrist | Past | Accepting new patients |
| Embrace Home Physicians PLLC | Past | Accepting new patients | |
| Positive Home Doctors, PC | Past | Accepting new patients |
Locations
18000 W 9 Mile Rd
Ste 525
Southfield, MI 48075
Phone (248) 327-6195
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Southfield, MI
- NPI 1891109641
MI
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1548704778
-
- Podiatrist
- Southfield, MI
- NPI 1588820229
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1568477255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1669489449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24445 NORTHWESTERN HWY",
"address_2": "SUITE 206",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756501",
"telephone_number": "248-799-0086",
"fax_number": "248-350-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24445 NORTHWESTERN HWY",
"address_2": "SUITE 206",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756501",
"telephone_number": "248-799-0086",
"fax_number": "248-350-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANO",
"first_name": "GARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5184125",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4856315900",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.