Individual provider Active NPI

Jonathan M Deming, D.P.M.

  • Podiatrist
  • Kalamazoo, MI
National Provider Identifier
1912295783
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400380 Issued in MI
Practice address
1212 S Park St Ste 1
Kalamazoo, MI 49001-5600
Phone
(269) 344-0874
Fax
(269) 344-7256
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901400380 MI Primary

Addresses

Primary practice location

1212 S Park St Ste 1
Kalamazoo, MI 49001-5600

Mailing address

1212 S Park St Ste 1
Kalamazoo, MI 49001-5600
Phone (269) 344-0874

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
I20251222000841 MI Practitioner - Podiatry 6406012194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalamazoo Foot Surgery, P.C.Group PAC ID 5890692297, 6 clinicians

Practice addresses (Care Compare)

1212 S Park St
Suite 1
Kalamazoo, MI 49001-5600
Phone (269) 344-0874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400380MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Foot Surgery, P.C. Podiatrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1212 S Park St
Ste 1
Kalamazoo, MI 49001
Phone (269) 344-0874

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17077/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1912295783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S PARK ST STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015600",
            "telephone_number": "269-344-0874",
            "fax_number": "269-344-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S PARK ST STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015600",
            "telephone_number": "269-344-0874",
            "fax_number": "269-344-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMING",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.