Individual provider Active NPI

Matthew J Lappenga, DPM

  • Primary Podiatric Medicine Podiatrist
  • Holland, MI
National Provider Identifier
1902802085
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
ML002224 Issued in MI
Practice address
904 Washington Ave
Holland, MI 49423-7724
Phone
(616) 392-7472
Fax
(616) 392-3327
NPI assigned
Jun 23, 2005
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X ML002224 MI Primary

Addresses

Primary practice location

904 Washington Ave
Holland, MI 49423-7724

Mailing address

904 Washington Ave
Holland, MI 49423-7724
Phone (616) 392-7472

Other identifiers 1

IdentifierTypeStateIssuer
4844544MedicaidMI

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
I20060221000091 MI Practitioner - Podiatry 7012983034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

445 120TH Ave
Holland, MI 49424-2119
Phone (616) 738-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
80.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions31
Removal of nail tissue578
Removal or shaving of skin growth275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ML002224MIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Foot and Ankle Center PC Podiatrist CurrentSince Mar 6, 2006 Accepting new patients
Holland Foot and Ankle Center PC Podiatrist CurrentSince Mar 6, 2006 Accepting new patients
Holland Foot and Ankle Center, PC Podiatrist Past Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

516 Linn St
Allegan, MI 49010
Phone (269) 673-5200

445 120th Ave
Holland, MI 49424
Phone (616) 738-1300

904 Washington Ave
Ste 130
Holland, MI 49423
Phone (616) 252-5950

904 Washington Ave
Holland, MI 49423
Phone (616) 392-7472

Interoperability endpoints

  • Direct secure messaging: mlappenga@hollandfoot.emadirect.md

Organizations & group practices 4

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 1

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1902802085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-7472",
            "fax_number": "616-392-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-7472",
            "fax_number": "616-392-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPPENGA",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "ML002224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4844544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.