Individual provider Active NPI

Steven Ronald Migdalewicz, DPM

  • Podiatrist
  • Novi, MI
National Provider Identifier
1902890627
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001589 Issued in MI
Practice address
30750 Tanglewood Dr
Novi, MI 48377-1589
Phone
(248) 624-5835
Fax
(248) 624-7961
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001589 MI Primary

Addresses

Primary practice location

30750 Tanglewood Dr
Novi, MI 48377-1589

Mailing address

30750 Tanglewood Dr
Novi, MI 48377-1589
Phone (248) 624-5835

Other identifiers 3

IdentifierTypeStateIssuer
4856354340OtherMIBLUE CROSS BLUE SHIELD
2976670MedicaidMI
4375070MedicaidMI

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
I20070319000296 MI Practitioner - Podiatry 4880797588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30750 Tanglewood Dr
Novi, MI 48377-1589
Phone (248) 624-5835

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 tissue25
Removal of nail tissue1153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5901001589MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R Migdalewicz DPM PC Podiatrist CurrentSince Jun 6, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1902890627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30750 TANGLEWOOD DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771589",
            "telephone_number": "248-624-5835",
            "fax_number": "248-624-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30750 TANGLEWOOD DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771589",
            "telephone_number": "248-624-5835",
            "fax_number": "248-624-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGDALEWICZ",
        "first_name": "STEVEN",
        "middle_name": "RONALD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4856354340",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2976670",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4375070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.