Michael B Debrule, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

MN679 Issued in MN

Practice address

6600 Lyndale Ave S
Suite#130
Richfield, MN 55423-3380

Phone

(612) 788-8778

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Podiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Feet, Foot and Ankle Health CenterGroup PAC ID 1254401300, 18 clinicians

In House Senior Services LLCGroup PAC ID 7113170267, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Feet , Foot & Ankle Health Center

  dba Midwest Podiatry Centers

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
  • NPI 1689848392
  Medicare reassignment Care Compare group NPD
• In House Senior Services, LLC

  • Primary Podiatric Medicine Podiatrist
  • Richfield, MN
  • NPI 1083962294

  WI

  Medicare reassignment Care Compare group NPD
• Michael B Debrule DPM, PA

  • Primary Podiatric Medicine Podiatrist
  • Marshall, MN
  • NPI 1699968875
  NPD (past) Authorized official
• Active Feet, Foot & Ankle Health Center

  dba Midwest Podiatry Center St. Anthony

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
  • NPI 1164716387
  NPD
• Active Feet, Foot & Ankle Health Center

  dba Midwest Podiatry Centers

  • Medical Specialty Clinic/Center
  • Blaine, MN
  • NPI 1861825093
  NPD

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1689655722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "address_2": "SUITE#130",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "612-788-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "address_2": "SUITE#130",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRULE",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MN",
            "license": "MN679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800620",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "59G29DE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689655722",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Kersti Davenport, PHARMD
• Thomas Dennis Davin, M.D.
• Laura L. Davis, R.N.
• Elyas De Backer
• Maria Lourdes Nolasco De Leon, BSN,RN
• Sherri Roller Deem, MS, LPCC
• Lilia Jeanne Degayner
• Savannah Rose Deinhart
• Dental Health Care Center PA
• Amanda R Deowdat

• Primary Podiatric Medicine Podiatrist in Richfield, MN
• Providers in Richfield, MN by specialty
• Primary Podiatric Medicine Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.

Verify at the official NPI Registry.