Active NPI
George Kardouss, DPM
- Foot & Ankle Surgery Podiatrist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901400415
- Practice address
- 1213 Mason St
Dearborn, MI 48124-2841 - Phone
- (313) 561-2446
- Fax
- (313) 561-7299
- NPI assigned
- May 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002723 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901400415 | MI | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5951000847 | MI |
Addresses
Primary practice location
1213 Mason St
Dearborn, MI 48124-2841
Mailing address
1213 Mason St Ste 2
Dearborn, MI 48124-2841
Phone (248) 250-4738
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1213 Mason St
Dearborn, MI 48124-2841
Phone (313) 278-2800
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
42755 Mound Rd
Sterling Heights, MI 48314-3255
Phone (586) 323-0400
Hospital & facility affiliations
- Holistic Home Healthcare, LLC
- Beaumont Hospital - Dearborn
- Beaumont Hospital Royal Oak
- Corewell Health Wayne Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 149 |
| Removal or shaving of skin growth | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901400415 | MI | MD | Foot & Ankle Surgery Podiatrist |
| 5951000847 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Associates in Family Practice PLLC | Current | Accepting new patients |
Locations
8025 Allen Rd
Allen Park, MI 48101
Phone (313) 386-0080
245 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-2150
1213 Mason St
Ste 2
Dearborn, MI 48124
1213 Mason St
Dearborn, MI 48124
Phone (313) 278-2800
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1621 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 317-4153
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
29201 Telegraph Rd
Ste 450
Southfield, MI 48034
Phone (248) 304-7659
42755 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-0400
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1790008753
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1053510446
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Garden City, MI
- NPI 1023586237
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1780175687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 MASON ST STE 2",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242841",
"telephone_number": "248-250-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 MASON ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242841",
"telephone_number": "313-561-2446",
"fax_number": "313-561-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDOUSS",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2021-12-27",
"certification_date": "2021-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002723",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901400415",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5951000847",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.