DR. MICHAEL LAWRENCE MICHETTI DPM
NPI 1245220789
Podiatrist - Foot & Ankle Surgery in Gaithersburg, MD

Active since October 26, 2005
702 RUSSELL AVE, GAITHERSBURG, MD 20877(301) 948-3668(301) 926-7787 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Lawrence Michetti Dpm NPPES

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

DR. MICHAEL LAWRENCE MICHETTI DPM (NPI 1245220789) is an individual foot & ankle surgery provider in Gaithersburg, Maryland, licensed in Maryland (00270) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1245220789
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL LAWRENCE MICHETTICredential: DPM
Location Address702 RUSSELL AVEGaithersburg, MD 20877-2606
Mailing Address702 Russell AveGaithersburg, MD 20877-2606 · (301) 948-3668 · Fax (301) 926-7787
Fax(301) 926-7787
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateDecember 16, 2010
NPI 1245220789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MD · 00270
702 RUSSELL AVE, Gaithersburg, MD 20877

Other Identifiers 4

Medicare PIN481007927DC
Medicare UPINT31082
Medicaid601608100DC
Medicare PIN400209D98DC

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
702 RUSSELL AVE, STE 100
GAITHERSBURG, MD 20877
Optometrist
702 RUSSELL AVE, SUITE 105
GAITHERSBURG, MD 20877
Podiatrist (Foot & Ankle Surgery)
702 RUSSELL AVE, SUITE 103
GAITHERSBURG, MD 20877
Family Medicine
702 RUSSELL AVE, SUITE 100
GAITHERSBURG, MD 20877
Clinic/Center (Ambulatory Surgical)
702 RUSSELL AVE, #301
GAITHERSBURG, MD 20877
Optometrist
702 RUSSELL AVE, SUITE 105
GAITHERSBURG, MD 20877
Specialist
702 RUSSELL AVE
GAITHERSBURG, MD 20877
Clinic/Center
702 RUSSELL AVE, SUITE 105
GAITHERSBURG, MD 20877

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 Michael Michetti's NPI number?

The NPI number for Michael Michetti is 1245220789. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Michael Michetti located?

Michael Michetti practices at 702 Russell Ave, Gaithersburg, MD 20877. The listed phone number is (301) 948-3668.

What is Michael Michetti's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Michael Michetti was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.