DR. JERAD ROLAND BOOTH DPM
NPI 1316562515
Podiatrist - Foot & Ankle Surgery in Sterling Heights, MI

Q: What is Jerad Booth's NPI number?

The NPI number for Jerad Booth is 1316562515. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Q: What is Jerad Booth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerad Booth was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 12, 2020PECOS Enrolled

2007 E 14 MILE RD, STERLING HEIGHTS, MI 48310(586) 244-9699 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 23, 2023, May 9, 2023, Jun 12, 2020 (3 updates tracked since 2020).

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About Dr. Jerad Roland Booth Dpm NPPES

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

DR. JERAD ROLAND BOOTH DPM (NPI 1316562515) is an individual foot & ankle surgery provider in Sterling Heights, Michigan, licensed in Michigan (5901400501) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of California School Of Podiatric Medicine (2020).

NPPES Registry Identity

NPI1316562515

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JERAD ROLAND BOOTHCredential: DPM

Location Address2007 E 14 MILE RDSterling Heights, MI 48310-5905

Mailing Address22201 Moross Rd Ste 250Detroit, MI 48236-2175 · (313) 343-3423 · Fax (313) 343-3401

Phone(586) 244-9699

Sole ProprietorYes

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2020

Enumeration DateJune 12, 2020

Last NPPES UpdateMay 23, 20233 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1316562515 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 MI · 5901400501

2007 E 14 MILE RD, Sterling Heights, MI 48310

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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 MULTIPLE 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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerad Roland Booth Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507288610

PECOS Enrollment IDI20230718000760

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerad Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bazzi Podiatry

13 mi

Foot & Ankle Surgery

7633 E JEFFERSON AVE, SUITE 250
Detroit, MI 48214

Reassigned Medicare billing, Michigan enrollment
10 clinicians in this Medicare group

NPI 1023415288 (313) 821-3338

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

236 services166 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

127 services101 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

94 services18 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

54 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services41 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

40 services32 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

38 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

29 services14 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

23 services15 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

20 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

18 services14 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

16 services13 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

15 services13 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

CAMBRIDGE INSTITUTE OF MINIMALLY INVASIVE THERAPIES PLLC

Radiology (Diagnostic Radiology)

2007 E 14 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 244-9699

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 Jerad Booth's NPI number?

The NPI number for Jerad Booth is 1316562515. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Jerad Booth located?

Jerad Booth practices at 2007 E 14 Mile Rd, Sterling Heights, MI 48310. The listed phone number is (586) 244-9699.

What is Jerad Booth's specialty?

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

Is Jerad Booth enrolled in Medicare?

Yes. Jerad Booth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerad Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerad Booth reassigns Medicare benefits to Bazzi Podiatry (Detroit, MI). The 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 Jerad Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerad Booth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jerad Booth 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.

Is Jerad Booth affiliated with any hospitals?

According to CMS data, Jerad Booth is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Jerad Booth was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.