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GRAND TRAVERSE FOOT & ANKLE CENTER P.C.
NPI 1396928297
Podiatrist in Traverse City, MI

Active since December 13, 2007
4246 N. THREE MILE RD., TRAVERSE CITY, MI 49686(231) 922-9100(231) 922-9180 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Grand Traverse Foot & Ankle Center P.c. NPPES

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

GRAND TRAVERSE FOOT & ANKLE CENTER P.C. (NPI 1396928297) is a healthcare organization registered as a podiatrist in Traverse City, Michigan and active in the NPI registry since December 2007. The organization lists Theresa Marie Zywicki, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396928297
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGRAND TRAVERSE FOOT & ANKLE CENTER P.C.
Location Address4246 N. THREE MILE RD.Traverse City, MI 49686
Mailing Address4246 N. Three Mile Rd.Traverse City, MI 49686 · (231) 922-9100 · Fax (231) 922-9180
Phone(231) 922-9100
Fax(231) 922-9180
Organization SubpartNo
Authorized OfficialTheresa Marie ZywickiOffice Manager · (231) 922-9100
Enumeration DateDecember 13, 2007
Last NPPES UpdateJuly 10, 2013
✔ NPI 1396928297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901001664
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.
4246 N. THREE MILE RD., Traverse City, MI 49686
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Other Identifiers 4

Medicare NSC4557980001MI
Medicaid132893049MI
Medicare UPINU13351MI
Medicare PIN0P52510MI

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 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)

Grand Traverse Foot & Ankle Center P.c. 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 Grand Traverse Foot & Ankle Center P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Olm, DPM, FACFAS, C-PED
Podiatry
NPI 1356344741
4246 3 MILE RD N
Traverse City, MI 49686
(231) 922-9100
✔ PECOS✔ Accepts Medicare10.0 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 Grand Traverse Foot & Ankle Center P.C.'s NPI number?

The NPI number for Grand Traverse Foot & Ankle Center P.C. is 1396928297. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Grand Traverse Foot & Ankle Center P.C. located?

Grand Traverse Foot & Ankle Center P.C. is located at 4246 N. Three Mile Rd., Traverse City, MI 49686. The listed phone number is (231) 922-9100.

What is Grand Traverse Foot & Ankle Center P.C.'s specialty?

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

Is Grand Traverse Foot & Ankle Center P.C. enrolled in Medicare?

Yes. Grand Traverse Foot & Ankle Center P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Traverse Foot & Ankle Center P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Grand Traverse Foot & Ankle Center P.C.. 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 Grand Traverse Foot & Ankle Center P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Traverse Foot & Ankle Center P.C. 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 Grand Traverse Foot & Ankle Center P.C. was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.