NPIMap

Individual provider Active NPI

Kristin Rae Raleigh, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
National Provider Identifier
1700143997
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002442 Issued in MI
Practice address
2333 Biddle Ave.
Henry Ford Wyandotte Hospital
Wyandotte, MI 48192-4668
Phone
(734) 246-6000
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002442 MI Primary

Addresses

Primary practice location

2333 Biddle Ave.
Henry Ford Wyandotte Hospital
Wyandotte, MI 48192-4668

Mailing address

2333 Biddle Ave.
Henry Ford Wyandotte Hospital
Wyandotte, MI 48192-4668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108002471 MI Practitioner - Podiatry 8426289794 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of Mid-Michigan PCGroup PAC ID 4082047675, 3 clinicians
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

111 E Wackerly St
Suite B
Midland, MI 48642-7043
Phone (989) 488-6355

320 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 466-7020

609 Quarter St
Gladwin, MI 48624-1941
Phone (989) 246-6201

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue270
Removal of skin lesions1-10
Removal of nail tissue329
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Group CurrentSince Jan 25, 2019 Accepting new patients
Monaghan Post-Vasold Podiatry PLC Foot & Ankle Surgery CurrentSince Sep 1, 2019 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 25, 2019 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Mar 1, 2023 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Foot & Ankle Specialists of Mid-Michigan PC Podiatrist CurrentSince Oct 16, 2019 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jan 25, 2019 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 25, 2019 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Mar 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 25, 2019 Accepting new patients
David W. Snider, DPM Podiatrist PastSince Nov 14, 2016 Accepting new patients
Best Foot Forward Consulting, LLC Podiatrist Past Accepting new patients
Foot and Ankle Specialists of Virginia PC Podiatrist PastSince Jul 1, 2015 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

111 E Wackerly St
Ste B
Midland, MI 48642
Phone (989) 486-9090

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 2400
Mt Pleasant, MI 48858
Phone (855) 298-9888

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1700143997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVE.",
            "address_2": "HENRY FORD WYANDOTTE HOSPITAL",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVE.",
            "address_2": "HENRY FORD WYANDOTTE HOSPITAL",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-246-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEIGH",
        "first_name": "KRISTIN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.