MICHAEL J KELLEY DPM
NPI 1295841153
Podiatrist in Rockford, MI

NPI Status: Active since August 22, 2006

Contact Information

6785 MYERS LAKE AVE NE
SUITE C
ROCKFORD, MI
ZIP 49341
Phone: (616) 874-8772

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  • Organization
  • Podiatrist
  • Accepts Insurance

About MICHAEL J KELLEY DPM

This page provides the complete NPI Profile along with additional information for Michael J Kelley Dpm, a provider established in Rockford, Michigan operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1295841153 assigned on August 2006. The practitioner's primary taxonomy code is 213E00000X with license number 5901001533 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael J Kelley Dpm (President)

NPI
1295841153
Provider Name
MICHAEL J KELLEY DPM
Entity Type
Organization
Location Address
6785 MYERS LAKE AVE NE SUITE C ROCKFORD, MI 49341
Location Phone
(616) 874-8772
Mailing Address
4310 LEONARD ST NW SUITE 103 GRAND RAPIDS, MI 49534
Mailing Phone
(616) 453-6329
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2006
Last Update Date
10-24-2012
Code Navigator

A podiatrist like Michael J Kelley Dpm provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
5901001533
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL J KELLEY DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(616) 874-8772

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5415014MEDICARE ID-TYPE UNSPECIFIED (04)MIMEDICARE
5415014MEDICARE PIN (08)MI 
2751473MEDICAID (05)MI 
T92545MEDICARE UPIN (02)MI 
0483980001MEDICARE NSC (07)MI 

Reviews for MICHAEL J KELLEY DPM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295841153
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851642110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 6 + 4 + 2 + 1 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1295841153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

MICHAEL KELLEY DPM

Podiatrist

6785 MYERS LAKE AVE NE
SUITE C
ROCKFORD, MI
ZIP 49341

(616) 874-8772

DAVID B FISCHER DDS

Dentist

(General Practice)

6785 MYERS LAKE AVE NE
SUITE A
ROCKFORD, MI
ZIP 49341

(616) 874-6040

ELDER CARE OF WEST MICHIGAN PLLC

Family Medicine

(Geriatric Medicine)

6785 MYERS LAKE AVE NE
ROCKFORD, MI
ZIP 49341

(616) 366-4234

DR. JEFFREY R WILLIAMSON DO

Family Medicine

6785 MYERS LAKE AVE NE
ROCKFORD, MI
ZIP 49341

(616) 884-5191

JEFFREY R WILLIAMSON DO PC

Family Medicine

6785 MYERS LAKE AVE NE
ROCKFORD, MI
ZIP 49341

(616) 884-5191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295841153, enumerated as an "organization" on August 22, 2006.

The provider is located at 6785 MYERS LAKE AVE NE SUITE C ROCKFORD, MI 49341 and the phone number is (616) 874-8772.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue. Please consult your insurance carrier or call the provider to verify.