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SPARTAN PODIATRY PC
NPI 1467664904
Podiatrist - Primary Podiatric Medicine in Marshall, MI

Active since May 04, 2007
1600 SOUTH KALAMAZOO AVE., MARSHALL, MI 49068(269) 781-4700(269) 781-7168 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2023, Oct 13, 2020 (2 updates tracked since 2020).

About Spartan Podiatry Pc NPPES

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

SPARTAN PODIATRY PC (NPI 1467664904) is a healthcare organization registered as a primary podiatric medicine in Marshall, Michigan and active in the NPI registry since May 2007. The organization lists Angela Robin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467664904
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameSPARTAN PODIATRY PC
Location Address1600 SOUTH KALAMAZOO AVE.Marshall, MI 49068
Mailing Address1600 South Kalamazoo Ave.Marshall, MI 49068 · (269) 781-4700 · Fax (269) 781-7168
Phone(269) 781-4700
Fax(269) 781-7168
Organization SubpartNo
Authorized OfficialAngela RobinVice President · (269) 781-4700
Enumeration DateMay 4, 2007
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1467664904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MI · WG000970
1600 SOUTH KALAMAZOO AVE., Marshall, MI 49068
Open in Google Maps ↗

Other Identifiers 3

Other485135002MI · Bcbs Dr. James Gray
Medicaid211332613MI
Other485135003MI · Bcbs Dr. William Gray

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Spartan Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spartan Podiatry PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Rene Juridico, DPM
Podiatry
NPI 1720566466
1600 S KALAMAZOO AVE STE A
Marshall, MI 49068
(269) 781-4700
✔ PECOS✔ Accepts MedicareSame address
Angela Robin, DPM
Podiatry
NPI 1952662538
1600 S KALAMAZOO AVE
Marshall, MI 49068
(269) 781-4700
✔ PECOS✔ Accepts MedicareSame address
James Gray, DPM
Podiatry
NPI 1508952821
1170 W MICH AVE
Marshall, MI 49068
(269) 781-4700
✔ PECOS✔ Accepts Medicare1.7 mi
Carl Jay, D.P.M.
Podiatry
NPI 1376981290
43494 WOODWARD AVE STE 208
Bloomfield Hills, MI 48302
(810) 206-1402
✔ PECOS✔ Accepts Medicare90 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 Spartan Podiatry PC's NPI number?

The NPI number for Spartan Podiatry PC is 1467664904. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Spartan Podiatry PC located?

Spartan Podiatry PC is located at 1600 South Kalamazoo Ave., Marshall, MI 49068. The listed phone number is (269) 781-4700.

What is Spartan Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Spartan Podiatry PC enrolled in Medicare?

Yes. Spartan Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spartan Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Spartan Podiatry PC. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spartan Podiatry PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Spartan Podiatry PC 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 Spartan Podiatry PC was last updated on April 13, 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.