Active NPI
Anthony J. Bianchi, DPM
- Podiatrist
- Fort Gratiot, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001442
- Practice address
- 3566 Connie LN
Fort Gratiot, MI 48059-4103 - Phone
- (810) 824-1376
- Fax
- (810) 294-5049
- NPI assigned
- Aug 7, 2006
- Last updated
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001442 | MI | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 5901001442 | MI |
Addresses
Primary practice location
3566 Connie LN
Fort Gratiot, MI 48059-4103
Mailing address
3566 Connie LN
Fort Gratiot, MI 48059-4103
Phone (810) 824-1376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2886017 | Medicaid | MI |
Other names 1
- Anthony J White
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
120 N Washington SQ Ofc
378 Healthdrive Podiatry Group
Lansing, MI 48933-1617
Phone (888) 964-6681
1209 10TH St B
Port Huron, MI 48060-5296
3566 Connie LN
Fort Gratiot, MI 48059-4103
Phone (810) 824-1376
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1838 |
| Removal or shaving of skin growth | 58 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001442 | MI | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony J. Bianchi DPM P.C. | Foot Surgery | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
Locations
1209 10th St
Ste B
Port Huron, MI 48060
Phone (810) 985-3346
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.
-
- Primary Podiatric Medicine Podiatrist
- Fort Gratiot, MI
- NPI 1629248778
Foot Surgery
-
dba HealthDrive Podiatry Group
- Podiatrist
- Dublin, OH
- NPI 1689613598
MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1861401994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3566 CONNIE LN",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480594103",
"telephone_number": "810-824-1376",
"fax_number": "810-294-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3566 CONNIE LN",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480594103",
"telephone_number": "810-824-1376",
"fax_number": "810-294-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCHI",
"first_name": "ANTHONY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001442",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MI",
"license": "5901001442",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2886017",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTHONY",
"last_name": "WHITE",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.