Individual provider Active NPI

Tameka Parham Taylor, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1912143389
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002243 Issued in MI
Practice address
29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083
Phone
(248) 621-4800
Fax
(248) 557-2781
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 5901002243 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002243 MI Primary

Addresses

Primary practice location

29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083

Mailing address

34421 Fontana Dr
Sterling Heights, MI 48312-5776
Phone (586) 819-9194

Other names 1

  • Mrs. Tameka Parham Taylor Other name

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
I20120926000501 MI Practitioner - Podiatry 0446409023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29425 Northwestern Hwy
Suite 125
Southfield, MI 48034-1083
Phone (248) 621-4800

34421 Fontana Dr
Sterling Heights, MI 48312-5776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue188
Removal of skin lesions1-10
Removal of nail tissue264
Removal or shaving of skin growth122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002243MIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tameka Parham Taylor, PLLC Foot & Ankle Surgery CurrentSince Nov 10, 2015 Accepting new patients
Fhpim, PLC Past Accepting new patients

Locations

29425 Northwestern Hwy
Ste 125
Southfield, MI 48034
Phone (248) 353-9460

Interoperability endpoints

  • Direct secure messaging: ttaylor4@direct.dmc.org
  • Direct secure messaging: ttaylor61744@direct.hfhs.org

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.

Hospital & facility affiliations 2

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1912143389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34421 FONTANA DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125776",
            "telephone_number": "586-819-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341083",
            "telephone_number": "248-621-4800",
            "fax_number": "248-557-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAMEKA",
        "middle_name": "PARHAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901002243",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMEKA",
            "last_name": "TAYLOR",
            "middle_name": "PARHAM",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.