Active NPI
Krista Kotzeva, D.P.M.
- Podiatrist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5951001356
- Practice address
- 22401 Foster Winter Dr
Southfield, MI 48075-3724 - Phone
- (248) 423-5100
- NPI assigned
- Jun 19, 2019
- Last updated
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5951001356 | MI | Primary |
Addresses
Primary practice location
22401 Foster Winter Dr
Southfield, MI 48075-3724
Mailing address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
1195 Wilson Ave NW
Suite 200
Grand Rapids, MI 49534-6405
Phone (616) 453-8277
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 353 |
| Removal or shaving of skin growth | 71 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5951001356 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Specialists of West Michigan P L L C | Current | Accepting new patients | |
| Royalton Foot & Ankle Associates PC | Podiatrist | Current | Accepting new patients |
| Foot & Ankle Specialists of West Michigan P L L C | Podiatrist | Current | Accepting new patients |
Locations
1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629
1195 Wilson Ave NW
Ste 200
Grand Rapids, MI 49534
Phone (616) 453-8277
2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666
1450 Farr Rd
Norton Shores, MI 49444
Phone (231) 739-7606
6050 Northland Dr NE
Ste 180
Rockford, MI 49341
Phone (616) 363-9833
4035 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-2440
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Primary Podiatric Medicine Podiatrist
- Grand Rapids, MI
- NPI 1154460962
-
- Foot & Ankle Surgery Podiatrist
- Saint Joseph, MI
- NPI 1578509683
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
- Foot & Ankle Surgery Podiatrist
- Carson City, MI
- NPI 1639907165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1730749961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-423-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-423-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZEVA",
"first_name": "KRISTA",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5951001356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.