Individual provider Active NPI

Alexsey Kheynson, DPM

  • Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1952373201
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002093 Issued in MI
Practice address
32910 West 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1983
Phone
(248) 996-1020
Fax
(248) 996-1023
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002093 MI Primary

Addresses

Primary practice location

32910 West 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1983

Mailing address

32910 West 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1983
Phone (248) 996-1020

Other identifiers 1

IdentifierTypeStateIssuer
1952373201MedicaidMI

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
I20041202000750 MI Practitioner - Podiatry 5395701221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Podiatry PCGroup PAC ID 1355345075, 2 clinicians

Practice addresses (Care Compare)

32910 W 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1983
Phone (248) 996-1020

Merit-based Incentive Payment System (MIPS)

Final score
61.22 of 100Reported as individual
Quality
54.39
Promoting interoperability
21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of nail tissue1232
Removal or shaving of skin growth224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002093MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Podiatry PC Podiatrist CurrentSince Dec 23, 2005 Accepting new patients

Locations

32910 W 13 Mile Rd
Ste C300
Farmington Hills, MI 48334
Phone (248) 855-8707

Interoperability endpoints

  • Direct secure messaging: alexsey.kheynson@direct.secureehrthomas.com
  • FHIR API: https://fhir.meditouchehr.com/api/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1952373201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32910 WEST 13 MILE RD",
            "address_2": "SUITE C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341983",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32910 WEST 13 MILE RD",
            "address_2": "SUITE C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341983",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEYNSON",
        "first_name": "ALEXSEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952373201",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.