Individual provider Active NPI

David H Berlin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
National Provider Identifier
1801803309
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001005 Issued in MI
Practice address
2914 E Long Lake Rd
Troy, MI 48085-3780
Phone
(248) 528-0709
Fax
(248) 528-1807
NPI assigned
Aug 1, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 5901001005 MI Primary

Addresses

Primary practice location

2914 E Long Lake Rd
Troy, MI 48085-3780

Mailing address

2914 E Long Lake Rd
Troy, MI 48085-3780
Phone (248) 528-0709

Other identifiers 8

IdentifierTypeStateIssuer
89594BOtherMIHAP
NC025717OtherMIPPOM PROVIDER CODE
2114815MedicaidMI
480002521OtherMICHAMPUS
0005335144OtherMIAETNA
485631470OtherMIBLUECROSSBLUESHIELD
1962526624OtherMIGROUP NPI
1801803309OtherINDIVIDUAL NPI

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
I20050916000768 MI Practitioner - Podiatry 6608809827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22301 Greater Mack Ave
Suite 3
Saint Clair Shores, MI 48080-2376
Phone (586) 776-7000

2914 E Long Lake Rd
Troy, MI 48085-3780
Phone (248) 528-0709

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions45
Removal of nail tissue42
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Long Lake Podiatry PC Current Accepting new patients
Associates in Family Practice PLLC CurrentSince Mar 1, 2017 Accepting new patients
East Side Foot & Ankle Clinic PC Foot & Ankle Surgery CurrentSince Jan 1, 1994 Accepting new patients
Long Lake Podiatry PC Foot & Ankle Surgery CurrentSince Sep 19, 2005 Accepting new patients

Locations

22301 Greater Mack Ave
Ste 3
St Clr Shores, MI 48080
Phone (313) 371-5300

42755 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-0400

2914 E Long Lake Rd
Troy, MI 48085
Phone (248) 528-0709

Interoperability endpoints

  • Direct secure messaging: dberlin1117327@direct.hfhs.org

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.

Hospital & facility affiliations 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1801803309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853780",
            "telephone_number": "248-528-0709",
            "fax_number": "248-528-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853780",
            "telephone_number": "248-528-0709",
            "fax_number": "248-528-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "89594B",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM PROVIDER CODE",
            "identifier": "NC025717",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114815",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "480002521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005335144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "485631470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962526624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801803309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.