Active NPI
Donald Michael Clemente Jr.
- Podiatrist
- Troy, MI
National Provider Identifier
1871786707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001978
- Practice address
- 2183 Newburgh Dr
Troy, MI 48083-2524 - Phone
- (248) 528-2599
- Fax
- (248) 528-2599
- NPI assigned
- Aug 23, 2007
- 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 | 5901001978 | MI | Primary |
Addresses
Primary practice location
2183 Newburgh Dr
Troy, MI 48083-2524
Mailing address
2183 Newburgh Dr
Troy, MI 48083-2524
Phone (248) 528-2599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4467304 | Medicaid | MI | |
| 4856352060 | Other | MI | BCBS OF MICHIGAN |
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
- Kent State University College of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Washington SQ Ofc
378 Healthdrive Podiatry Group
Lansing, MI 48933-1617
Phone (888) 964-6681
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1637 |
| Removal or shaving of skin growth | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001978 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
| Midwest Physician Services PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Toledo, OH
- NPI 1215945878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1871786707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2183 NEWBURGH DR",
"city": "TROY",
"state": "MI",
"postal_code": "480832524",
"telephone_number": "248-528-2599",
"fax_number": "248-528-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2183 NEWBURGH DR",
"city": "TROY",
"state": "MI",
"postal_code": "480832524",
"telephone_number": "248-528-2599",
"fax_number": "248-528-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "DONALD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4467304",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "4856352060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.