Active NPI
Craig Ricardo Shelton, DPM
- Podiatrist
- Ypsilanti, MI
National Provider Identifier
1871676817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001715
- Practice address
- 103 Dr John C Shelton Blvd
Ypsilanti, MI 48197-5412 - Phone
- (734) 487-5007
- Fax
- (734) 487-5259
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001715 | MI | Primary |
Addresses
Primary practice location
103 Dr John C Shelton Blvd
Ypsilanti, MI 48197-5412
Mailing address
103 Dr John C Shelton Blvd
Ypsilanti, MI 48197-5412
Phone (734) 487-5007
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3297390 | Medicaid | MI | |
| 480025231 | Other | MI | MEDICARE RAILROAD |
| 4858154280 | Other | MI | BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101118000191 | MI | Practitioner - Podiatry | 1850411810 | Practice locations: Ypsilanti, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 Ferris St
Ypsilanti, MI 48197-5412
Phone (734) 487-5007
5341 McAuley Dr
Ypsilanti, MI 48197-9808
Phone (734) 712-1600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1871676817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DR JOHN C SHELTON BLVD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975412",
"telephone_number": "734-487-5007",
"fax_number": "734-487-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 DR JOHN C SHELTON BLVD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975412",
"telephone_number": "734-487-5007",
"fax_number": "734-487-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "CRAIG",
"middle_name": "RICARDO",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3297390",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480025231",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4858154280",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.