Individual provider Active NPI

Ritu Mathur, DPM

  • Podiatrist
  • Holland, MI
National Provider Identifier
1801833512
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001716 Issued in MI
Practice address
388 Garden Ave Ste 120
Holland, MI 49424-8999
Phone
(616) 201-3334
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001716 MI Primary

Addresses

Primary practice location

388 Garden Ave Ste 120
Holland, MI 49424-8999

Mailing address

2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Phone (616) 494-4251

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmathur@weil4feet.com Foot & Ankle Specialists of West Michigan P L L C
CONNECT URL https://balancehealth.com/location/foot-and-ankle-specialists-holland-mi/ Foot & Ankle Specialists of West Michigan P L L C

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
I20050621001052 MI Practitioner - Podiatry 2163467135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.45 of 100Reported as individual
Quality
79.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001716MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C CurrentSince May 15, 2023 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Podiatrist CurrentSince May 15, 2023 Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

388 Garden Ave
Ste 120
Holland, MI 49424
Phone (616) 201-3334

Interoperability endpoints

  • Direct secure messaging: rmathur@weil.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1801833512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-494-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE STE 120",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248999",
            "telephone_number": "616-201-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "RITU",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmathur@weil4feet.com",
            "affiliation": "Y",
            "affiliationName": "Foot & Ankle Specialists of West Michigan P L L C",
            "address_1": "2144 E PARIS SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balancehealth.com/location/foot-and-ankle-specialists-holland-mi/",
            "affiliation": "Y",
            "affiliationName": "Foot & Ankle Specialists of West Michigan P L L C",
            "address_1": "388 Garden Ave Ste 120",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494248999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.