Individual provider Active NPI

Steven H Glickman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
National Provider Identifier
1730152141
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000600 Issued in MI
Practice address
4770 Rochester Rd
Ste 104
Troy, MI 48085
Phone
(248) 689-5125
Fax
(248) 689-5688
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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 5901000600 MI Primary

Addresses

Primary practice location

4770 Rochester Rd
Ste 104
Troy, MI 48085

Mailing address

4770 Rochester Rd
Ste 104
Troy, MI 48085
Phone (248) 689-5125

Other identifiers 1

IdentifierTypeStateIssuer
1375192MedicaidMI

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
I20101008001299 MI Practitioner - Podiatry 7517855596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4770 Rochester Rd
Troy, MI 48085-4951
Phone (248) 689-5125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as individual
Quality
76.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions14
Removal of nail tissue59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Podiatrist PC Foot & Ankle Surgery CurrentSince Feb 1, 1973 Accepting new patients
Osteoporosis Testing Centers Inc PastSince Jul 1, 1992 Accepting new patients

Locations

4770 Rochester Rd
Ste 104
Troy, MI 48085
Phone (248) 689-5125

4770 Rochester Rd
Troy, MI 48085
Phone (248) 689-3443

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1730152141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 ROCHESTER RD",
            "address_2": "STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-689-5125",
            "fax_number": "248-689-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 ROCHESTER RD",
            "address_2": "STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-689-5125",
            "fax_number": "248-689-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "STEVEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1375192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.