Individual provider Active NPI

Karen Marie Walsh, DPM

  • Primary Podiatric Medicine Podiatrist
  • Marysville, MI
National Provider Identifier
1851343610
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
KW001963 Issued in MI
Practice address
845 Michigan Ave
Marysville, MI 48040-1404
Phone
(810) 364-6614
Fax
(810) 364-6615
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X KW001963 MI
Primary Podiatric Medicine Podiatrist 213EP1101X KW001963 MI Primary

Addresses

Primary practice location

845 Michigan Ave
Marysville, MI 48040-1404

Mailing address

845 Michigan Ave
Marysville, MI 48040-1404
Phone (810) 364-6614

Other identifiers 1

IdentifierTypeStateIssuer
4505540MedicaidMI

Other names 1

  • Dr. Karen Marie Kozub Former name

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
I20041202000942 MI Practitioner - Podiatry 0345206298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Michigan Ave
Suite D
Marysville, MI 48040-2112
Phone (810) 364-6614

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions19
Removal of nail tissue543
Removal or shaving of skin growth127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KW001963MIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen M. Walsh, DPM, PC Primary Podiatric Medicine CurrentSince Aug 1, 2002 Accepting new patients
David E. Beneson D.P.M., P.C. Primary Podiatric Medicine PastSince Nov 1, 2019 Accepting new patients
Foot Care Network PC Past Accepting new patients
Romeo Foot Clinic, PC Primary Podiatric Medicine PastSince May 1, 2007 Accepting new patients
Sterling Family Foot Care PC Past Accepting new patients
Sterling Heights Foot Care, P.C. Past Accepting new patients

Locations

845 Michigan Ave
Marysville, MI 48040
Phone (810) 364-5050

1100 Michigan Ave
Ste D
Marysville, MI 48040
Phone (810) 364-6614

Organizations & group practices 6

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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1851343610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-6614",
            "fax_number": "810-364-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-6614",
            "fax_number": "810-364-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "KW001963",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "KW001963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4505540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KOZUB",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marysville, MI

Sources for this page

Verify at the official NPI Registry.