Gretta Shara, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Armada, MI
NPI 1679535942 · NPPES record last updated Oct 6, 2008
Key facts
- NPI
- 1679535942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 5901001789 (MI)
- Practice address
- 23064 E Main St
Armada, MI 48005-4705 - Phone
- (586) 784-0184
- Fax
- (586) 784-5227
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23064 E Main St
Armada, MI 48005-4705
Phone (586) 784-0184
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 21 |
| Removal of nail tissue | 51 |
| Removal or shaving of skin growth | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000591 | MI | Practitioner - Podiatry | 8921017427 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gretta Shara, DPM, PC | Podiatrist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001789 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901001789 | MI | Yes |
Addresses
Primary practice location
23064 E Main St
Armada, MI 48005-4705
Mailing address
PO Box 907
Armada, MI 48005-0907
Phone (586) 784-0184
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00301345 | Other | MI | MEDICARE RAILROAD PIN |
| 4855001230 | Other | MI | BLUE CROSS BLUE SHIELD |
| 383335188 | Other | MI | COMERCIAL |
Other providers in Armada, MI
- Plymouth Physical Therapy Specialists Limited Partnership
- Rhema Armada Operating LLC
- Natalie Rolfe
- Deborah Lynn Saelens
- Colleen M Scott
- Kali Alyss Sherry
- Smidi Drugs Inc
- Paul Lucki Smith
- Ashley Marie Snyder
- Cindy Spalding
All providers in Armada, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.