Organization Active NPI

Mission Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1669764304
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002231 Issued in MI
Legal business name
MISSION PODIATRY PLLC
Practice address
16540 19 Mile Rd
Clinton Township, MI 48038-1106
Phone
(586) 286-8660
Fax
(586) 286-8353
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Joyce Eva Patouhas, DPMNPI 1598794489
Title
Owner/Podiatrists
Phone
(586) 557-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901002231 MI Primary

Addresses

Primary practice location

16540 19 Mile Rd
Clinton Township, MI 48038-1106

Mailing address

4455 Fox Hill Dr
Sterling Heights, MI 48310-3371
Phone (586) 286-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000270 MI DME Supplier - Physician - Podiatry 8123164357 Practice locations: Clinton Township, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

39090 Garfield Rd
Ste 101
Clinton Twp, MI 48038
Phone (586) 286-8660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1669764304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 FOX HILL DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103371",
            "telephone_number": "586-286-8660",
            "fax_number": "586-286-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16540 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-8660",
            "fax_number": "586-286-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "PATOUHAS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "OWNER/PODIATRISTS",
        "authorized_official_telephone_number": "586-557-6170",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.