Individual provider Active NPI

Michael Rose

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
National Provider Identifier
1679144810
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59.000922 Issued in OH
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 861-6200
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 59.000922 OH Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

2040 Doovys St
Avon, OH 44011-1116
Phone (508) 446-5275

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031003614 MI Practitioner - Podiatry 5294268074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youssef Aoun DPM PLLCGroup PAC ID 9638437320, 3 clinicians
Foot and Ankle Specialists of Bay City, PLLCGroup PAC ID 6507267937, 2 clinicians

Practice addresses (Care Compare)

150 Millwood St
Caro, MI 48723-1656
Phone (989) 673-3338

3601 Wilder Rd
Bay City, MI 48706-2113
Phone (989) 667-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of skin lesions17
Removal of nail tissue870
Removal or shaving of skin growth537
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000922OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of Bay City, PLLC Foot & Ankle Surgery CurrentSince Aug 25, 2024 Accepting new patients
Youssef Aoun DPM PLLC Foot & Ankle Surgery CurrentSince Aug 25, 2024 Accepting new patients

Locations

3601 Wilder Rd
Bay City, MI 48706
Phone (989) 667-3668

150 Millwood St
Caro, MI 48723
Phone (989) 673-3338

1187 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 969-4016

Interoperability endpoints

  • Direct secure messaging: michael.rose.1@24231.direct.athenahealth.com
  • Direct secure messaging: michael.rose.2@24231.direct.athenahealth.com
  • Direct secure messaging: michael.rose.3@24231.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1679144810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DOOVYS ST",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111116",
            "telephone_number": "508-446-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.