Individual provider Active NPI

Elelta Hailemichael, DPM

  • Foot & Ankle Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1821405739
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
R81052 Issued in NY
Practice address
10250 67TH Rd Apt 2
Forest Hills, NY 11375-2670
Phone
(917) 406-5716
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 R81052 NY Primary

Addresses

Primary practice location

10250 67TH Rd Apt 2
Forest Hills, NY 11375-2670

Mailing address

2725 Asbury Rd
Knoxville, TN 37914-6436
Phone (865) 329-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201023000051 TN Practitioner - Podiatry 4880998863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians
Special Care Podiatry of Tennessee, LLCGroup PAC ID 8820398696, 10 clinicians

Practice addresses (Care Compare)

329 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (877) 674-1211

6140 E Brainerd Rd
Chattanooga, TN 37421-3910
Phone 24852821166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1060
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006664NYMDAcupuncturist
R81052NYMDFoot & Ankle Surgery Podiatrist
01683MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC CurrentSince Mar 10, 2025 Accepting new patients
Special Care Podiatry of Tennessee, LLC CurrentSince Sep 16, 2024 Accepting new patients
Aria Dental Care PC Past Accepting new patients
Step Up Surgical Podiatry, PLLC Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

Organizations & group practices 5

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1821405739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 ASBURY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379146436",
            "telephone_number": "865-329-3338",
            "fax_number": "865-329-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 67TH RD APT 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752670",
            "telephone_number": "917-406-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEMICHAEL",
        "first_name": "ELELTA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R81052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.