CHARLES G KISSEL DPM PC
NPI 1013001221
Podiatrist - Foot & Ankle Surgery in Warren, MI
About Charles G Kissel Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES G KISSEL DPM PC (NPI 1013001221) is a healthcare organization registered as a foot & ankle surgery in Warren, Michigan and active in the NPI registry since October 2006. The organization lists Cindy Smith, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 11
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles G Kissel Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Charles G Kissel DPM PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Dallas, TX 75390
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles G Kissel Dpm PC's NPI number?
The NPI number for Charles G Kissel Dpm PC is 1013001221. It was assigned to this organization in the NPPES registry on October 3, 2006.
Where is Charles G Kissel Dpm PC located?
Charles G Kissel Dpm PC is located at 29433 Ryan Rd, Warren, MI 48092. The listed phone number is (586) 574-0500.
What is Charles G Kissel Dpm PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Charles G Kissel Dpm PC enrolled in Medicare?
Yes. Charles G Kissel Dpm PC is registered in the Medicare PECOS enrollment system.
When is Charles G Kissel Dpm PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Charles G Kissel Dpm PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Charles G Kissel Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Podiatry (9) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Charles G Kissel Dpm PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Charles G Kissel Dpm PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles G Kissel Dpm PC was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles G Kissel Dpm Pc · NPI 1013001221
Foot & Ankle Surgery organization in Warren, Michigan. Organization record, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1013001221 (Entity type: Organization)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Cindy Smith, MANAGER
## Practice location
- **Address:** 29433 RYAN RD, Warren, MI 48092-2203
- **Phone:** (586) 574-0500 · **Fax:** (586) 574-2694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (9), Nurse Practitioner (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2012
- **Other identifiers:** Other CK000960 (MI); Medicaid 134865123 (MI); Medicare PIN 0M91010 (MI); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013001221) · Data from the CMS NPPES public registry.