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MICHAEL MITRY, DPM
NPI 1386036275
Podiatrist - Foot & Ankle Surgery in Needham, MA

Active since March 02, 2015
1410 HIGHLAND AVE STE 204, NEEDHAM, MA 02492(781) 444-4044(781) 444-5044 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Mitry, Dpm NPPES

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

MICHAEL MITRY, DPM (NPI 1386036275) is a healthcare organization registered as a foot & ankle surgery in Needham, Massachusetts and active in the NPI registry since March 2015. The organization maintains 3 additional practice locations and lists Michael Mitry, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1386036275
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHENOUDA CORP
Location Address1410 HIGHLAND AVE STE 204Needham, MA 02492
Mailing Address1410 Highland Ave Ste 204Needham, MA 02492-2617 · (781) 444-4044 · Fax (781) 444-5044
Phone(781) 444-4044
Fax(781) 444-5044
Organization SubpartNo
Authorized OfficialMichael MitryPodiatrist · (508) 361-0078
Enumeration DateMarch 2, 2015
Last NPPES UpdateNovember 27, 2018
✔ NPI 1386036275 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
1410 HIGHLAND AVE STE 204, Needham, MA 02492
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Other Names 1

Doing Business AsMichael Mitry, Dpm

Secondary Practice Locations 3

Location 160 Dedham AveNeedham, MA 02492-3061 · Phone (508) 361-0078
Location 220 East St Ste 6Hanover, MA 02339-1638 · Phone (781) 826-1150 · Fax (781) 826-6052
Location 331 Pine St Ste 206Norfolk, MA 02056-1680 · Phone (781) 826-6110 · Fax (781) 826-6118

Other Identifiers 1

Medicaid110109398CMA

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 Anthem Blue Cross and Blue Shield.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)

Michael Mitry, Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael Mitry, DPM, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Christopher Karter, DPM
Podiatry
NPI 1861875031
1410 HIGHLAND AVE STE 204
Needham, MA 02492
(781) 444-4044
✔ PECOS✔ Accepts MedicareSame address
Michael Mitry, DPM
Podiatry
NPI 1700193406
1410 HIGHLAND AVE STE 204
Needham, MA 02492
(781) 444-4044
✔ PECOS✔ Accepts MedicareSame address

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 Shenouda Corp's NPI number?

The NPI number for Shenouda Corp is 1386036275. It was assigned to this organization in the NPPES registry on March 2, 2015. The provider is doing business as Michael Mitry, Dpm.

Where is Shenouda Corp located?

Shenouda Corp is located at 1410 Highland Ave Ste 204, Needham, MA 02492. The listed phone number is (781) 444-4044.

What is Shenouda Corp's specialty?

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

Is Shenouda Corp enrolled in Medicare?

Yes. Shenouda Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shenouda Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Shenouda Corp. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shenouda Corp accept?

Health plans from Anthem Blue Cross and Blue Shield list Shenouda Corp 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 Shenouda Corp was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.