Individual provider Active NPI

Chanda J Corbin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Romeo, MI
National Provider Identifier
1992790059
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002094 Issued in MI
Practice address
174 S Main St
Romeo, MI 48065-5128
Phone
(586) 372-7200
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300946 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002094 MI Primary

Addresses

Primary practice location

174 S Main St
Romeo, MI 48065-5128

Mailing address

174 S Main St
Romeo, MI 48065-5128

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
I20150204000757 MI Practitioner - Podiatry 1254360779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

174 S Main St
Romeo, MI 48065-5128
Phone (586) 372-7200

Hospital & facility affiliations

  • Bay Nursing, Inc Home health agency, Romeo, MI, CCN 237272
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue215
Removal or shaving of skin growth139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Foot & Ankle Associates PLLC Foot & Ankle Surgery CurrentSince Jul 5, 2005 Accepting new patients
Chanda J Corbin, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2015 Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Winchester Foot & Ankle Associates PLLC PastSince Jul 5, 2005 Accepting new patients

Locations

174 S Main St
Romeo, MI 48065
Phone (586) 372-7200

117 N Braddock St
Ste 150
Winchester, VA 22601
Phone (540) 622-4572

Interoperability endpoints

  • Direct secure messaging: ccorbin370269@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/635f51c4-b647-4331-af69-de60fc5578b8/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1992790059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655128",
            "telephone_number": "586-372-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "CHANDA",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300946",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

Verify at the official NPI Registry.