Active NPI
Michelle Hisako Haldeman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.003863
- Practice address
- 15800 Detroit Ave
Lakewood, OH 44107-3748 - Phone
- (162) 227-2194
- Fax
- (216) 227-2196
- NPI assigned
- May 20, 2015
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36.003863 | OH | Primary |
Addresses
Primary practice location
15800 Detroit Ave
Lakewood, OH 44107-3748
Mailing address
15800 Detroit Ave
Lakewood, OH 44107-3748
Phone (216) 227-2194
Other practice location 1
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280427 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lakewood | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15800 Detroit Ave
Suite a
Lakewood, OH 44107-3749
Phone (216) 316-2386
1730 W 25TH St
Cleveland, OH 44113-3108
Phone (216) 363-2353
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872
6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 153 |
| Removal of skin lesions | 29 |
| Removal of nail tissue | 101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Point Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Multi-Specialty | Current | Accepting new patients |
| Neighborhood Health Care Incorporated | Multi-Specialty | Current | Accepting new patients |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Multi-Specialty | Past | Accepting new patients |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients |
Locations
11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004
13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046
14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 252-4600
1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300
2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800
3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860
3569 Ridge Rd
Cleveland, OH 44102
4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129
6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733
11906 Madison Ave
Lakewood, OH 44107
15800 Detroit Ave
Lakewood, OH 44107
Phone (216) 227-2194
15800 Detroit Ave
Ste A
Lakewood, OH 44107
Phone (216) 226-8700
Interoperability endpoints
- mhaldeman1235878@direct.ccf.org
Organizations & group practices 10
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.
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1720135304
Multi-Specialty
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1326462219
-
- Pharmacy
- Cleveland, OH
- NPI 1427847854
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1952568586
Multi-Specialty
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1265702351
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Lakewood, OH
- NPI 1265902324
Multi-Specialty
-
dba Neighborhood Family Practice
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1568014173
-
dba Neighborhood Family Practice
- Clinic/Center
- Cleveland, OH
- NPI 1730563891
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1669851812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15800 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073748",
"telephone_number": "216-227-2194",
"fax_number": "216-227-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073748",
"telephone_number": "162-227-2194",
"fax_number": "216-227-2196"
}
],
"practiceLocations": [
{
"address_1": "3569 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441025443",
"country_code": "US",
"telephone_number": "216-281-0872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALDEMAN",
"first_name": "MICHELLE",
"middle_name": "HISAKO",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36.003863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280427",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lakewood",
"affiliation": "N",
"endpointDescription": "Epic EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Information",
"address_1": "15800 Detroit Ave",
"city": "Lakewood",
"state": "OH",
"country_code": "US",
"postal_code": "441073748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.