Individual provider Active NPI

Stephen James Palajac, DPM

  • Podiatrist
  • Eastpointe, MI
National Provider Identifier
1821025602
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
JP002254 Issued in MI
Practice address
20927 Kelly Rd
Eastpointe, MI 48021-3128
Phone
(586) 777-8801
NPI assigned
Jun 27, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X JP002254 MI Primary

Addresses

Primary practice location

20927 Kelly Rd
Eastpointe, MI 48021-3128

Mailing address

14825 W McNichols Rd
Detroit, MI 48235-3939
Phone (734) 772-4722

Other identifiers 1

IdentifierTypeStateIssuer
5198828MedicaidMI

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
I20070714000185 MI Practitioner - Podiatry 7517937386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24609 Cubberness St
Saint Clair Shores, MI 48080-3115
Phone (586) 445-2911

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of nail tissue1049
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JP002254MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nomad Podiatry PLLC Podiatrist CurrentSince Feb 27, 2018 Accepting new patients
Vip Home Physicians PLLC Podiatrist CurrentSince Oct 1, 2024 Accepting new patients
Kenneth Rehm Past Accepting new patients
Physicians Residential Services, P.C. Past Accepting new patients
Healthland Housecall Services LLC PastSince Dec 9, 2019 Accepting new patients
Ve Care, Inc PastSince Jun 1, 2019 Accepting new patients

Locations

17425 Mack Ave
Detroit, MI 48224
Phone (313) 499-8991

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1821025602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353939",
            "telephone_number": "734-772-4722",
            "fax_number": "248-509-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20927 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213128",
            "telephone_number": "586-777-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAJAC",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JP002254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5198828",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.