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IVANREST FOOT AND ANKLE SPECIALISTS
NPI 1144750373
Podiatrist in Grandville, MI

Active since June 20, 2017
3050 IVANREST AVE SW STE E, GRANDVILLE, MI 49418(616) 406-0102(616) 406-0105 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivanrest Foot And Ankle Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVANREST FOOT AND ANKLE SPECIALISTS (NPI 1144750373) is a healthcare organization registered as a podiatrist in Grandville, Michigan and active in the NPI registry since June 2017. The organization lists James M Pouillon, Physician, as its authorized official.

NPPES Registry Identity

NPI1144750373
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameJAMES M POUILLON DPM PLC
Location Address3050 IVANREST AVE SW STE EGrandville, MI 49418-1400
Mailing Address4310 Leonard St Nw Ste 103Walker, MI 49534-8447 · (616) 453-6329 · Fax (616) 453-1725
Phone(616) 406-0102
Fax(616) 406-0105
Organization SubpartNo
Authorized OfficialJames M PouillonPhysician · (616) 405-0102
Enumeration DateJune 20, 2017
✔ NPI 1144750373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3050 IVANREST AVE SW STE E, Grandville, MI 49418
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Other Names 1

Doing Business AsIvanrest Foot And Ankle Specialists

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivanrest Foot And Ankle Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivanrest Foot And Ankle Specialists, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Pouillon, DPM
Podiatry
NPI 1710070883
3050 IVANREST AVE SW STE E
Grandville, MI 49418
(616) 406-0102
✔ PECOS✔ Accepts Medicare0.1 mi

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 James M Pouillon Dpm Plc's NPI number?

The NPI number for James M Pouillon Dpm Plc is 1144750373. It was assigned to this organization in the NPPES registry on June 20, 2017. The provider is doing business as Ivanrest Foot And Ankle Specialists.

Where is James M Pouillon Dpm Plc located?

James M Pouillon Dpm Plc is located at 3050 Ivanrest Ave SW Ste E, Grandville, MI 49418. The listed phone number is (616) 406-0102.

What is James M Pouillon Dpm Plc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is James M Pouillon Dpm Plc enrolled in Medicare?

Yes. James M Pouillon Dpm Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James M Pouillon Dpm Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to James M Pouillon Dpm Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does James M Pouillon Dpm Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list James M Pouillon Dpm Plc 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 James M Pouillon Dpm Plc was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.