Jennifer Lynn Petronella, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002333 Issued in MI

Practice address

9640 Commerce Rd
Commerce Township, MI 48382-4166

Phone

(248) 360-3888

NPI assigned

Jul 5, 2009

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Podiatry Group of Michigan PCGroup PAC ID 2961836978, 5 clinicians

G. Daniel Shanahan IV DPM PCGroup PAC ID 2961306105, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpetrone@direct.dmc.org

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.

• G. Daniel Shanahan IV DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Commerce TWP, MI
  • NPI 1053417816
  Medicare reassignment Care Compare group NPD
• Preferred Podiatry Group of Michigan PC

  • Podiatrist
  • Chicago, IL
  • NPI 1366086886

  MI

  Medicare reassignment Care Compare group NPD
• Fhpim, PLC

  dba Foot and Heel Pain Institute of Michigan, PLC

  • Podiatrist
  • Southfield, MI
  • NPI 1629007422
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Huron Valley-Sinai Hospital Inc

  dba Huron Valley-Sinai Hospital

  • General Acute Care Hospital
  • Commerce Township, MI
  • NPI 1922310200
  Care Compare affiliation

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1770712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 102",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-360-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824166",
            "telephone_number": "248-360-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONELLA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Pelowski, DO
• William Robert Pence, RPH
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04487)
• Bret Peters, DPT
• Erica Peterson, OTRL
• Noura Petrous
• Luba Petrusha, MD
• Judith Pfaff, LPC
• Danh Tan Phan, DDS
• Michelle M Philp, PA-C

• Podiatrist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.