Individual provider Active NPI

Michael Damian Huels, DPM

  • Podiatrist
  • Alton, IL
National Provider Identifier
1851427819
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004454 Issued in IL
Practice address
3535 College Ave
Alton, IL 62002-5009
Phone
(618) 462-2316
Fax
(618) 462-0954
NPI assigned
Feb 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004454 IL Primary

Addresses

Primary practice location

3535 College Ave
Alton, IL 62002-5009

Mailing address

3535 College Ave
Alton, IL 62002-5009
Phone (618) 462-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120503000035 IL Practitioner - Podiatry 0648486167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alton Podiatry Clinic, P.C.Group PAC ID 9739395252, 2 clinicians

Practice addresses (Care Compare)

3535 College Ave
Alton, IL 62002-5009
Phone (618) 462-2316

Hospital & facility affiliations

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 tissue1-10
Removal of nail tissue1423
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004454ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Health Centers PC Podiatrist CurrentSince May 26, 2024 Accepting new patients

Locations

122 E Zupan St
Maryville, IL 62062
Phone (618) 344-4449

6829 Parker Rd
Florissant, MO 63033
Phone (314) 373-2063

Interoperability endpoints

  • Direct secure messaging: mhuels134855@direct.carenet.org

Organizations & group practices 2

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 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851427819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025009",
            "telephone_number": "618-462-2316",
            "fax_number": "618-462-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025009",
            "telephone_number": "618-462-2316",
            "fax_number": "618-462-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELS",
        "first_name": "MICHAEL",
        "middle_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.