Individual provider Active NPI

Michelle Hisako Haldeman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, OH
National Provider Identifier
1669851812
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003863 Issued in OH
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0280427MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530002054 OH Practitioner - Podiatry 2466741103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Point Medical Group, LLCGroup PAC ID 6002177342, 6 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue153
Removal of skin lesions29
Removal of nail tissue101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Point Medical Group, LLC Multi-Specialty CurrentSince Mar 1, 2019 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince May 12, 2024 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince May 12, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.