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KALAMAZOO FOOT SURGERY, P.C.
NPI 1780763870
Podiatrist in Kalamazoo, MI

Active since November 02, 2006
1212 S PARK ST, KALAMAZOO, MI 49001(269) 344-0874(269) 344-7256 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kalamazoo Foot Surgery, P.c. NPPES

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

KALAMAZOO FOOT SURGERY, P.C. (NPI 1780763870) is a healthcare organization registered as a podiatrist in Kalamazoo, Michigan and active in the NPI registry since November 2006. The organization lists Rick William Tiller, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780763870
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameKALAMAZOO FOOT SURGERY, P.C.
Location Address1212 S PARK STKalamazoo, MI 49001-5600
Mailing Address1212 S Park StKalamazoo, MI 49001-5600 · (269) 344-0874 · Fax (269) 344-7256
Phone(269) 344-0874
Fax(269) 344-7256
Organization SubpartNo
Authorized OfficialRick William TillerDoctor · (269) 344-0874
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1780763870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
1212 S PARK ST, Kalamazoo, MI 49001
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Other Identifiers 3

Other480C97640MI · Blue Care Network
Other0432570002MI · Dme
Other480C97640MI · Blue Cross Blue Shield

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 Care Network of Michigan.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)

Kalamazoo Foot Surgery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Kalamazoo Foot Surgery, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Douglas Brewer, D.P.M.
Podiatry
NPI 1811968381
1212 S PARK ST
Kalamazoo, MI 49001
(269) 344-0874
✔ PECOS✔ Accepts MedicareSame address
Jonathan Deming, D.P.M.
Podiatry
NPI 1912295783
1212 S PARK ST STE 1
Kalamazoo, MI 49001
(269) 344-0874
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Horton, DPM
Podiatry
NPI 1225342025
1212 S PARK ST
Kalamazoo, MI 49001
(269) 344-0874
✔ PECOS✔ Accepts MedicareSame address
Jessica Patterson, DPM
Podiatry
NPI 1922340363
1212 S PARK ST STE 1
Kalamazoo, MI 49001
(269) 344-0874
✔ PECOS✔ Accepts MedicareSame address
Andrew Robitaille
Podiatry
NPI 1174183438
1212 S PARK ST
Kalamazoo, MI 49001
(269) 344-0874
✔ PECOS✔ Accepts MedicareSame address
Rick Tiller, D.P.M.
Podiatry
NPI 1134190614
1212 S PARK ST
Kalamazoo, MI 49001
(269) 344-0874
✔ 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 Kalamazoo Foot Surgery, P.C.'s NPI number?

The NPI number for Kalamazoo Foot Surgery, P.C. is 1780763870. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Kalamazoo Foot Surgery, P.C. located?

Kalamazoo Foot Surgery, P.C. is located at 1212 S Park St, Kalamazoo, MI 49001. The listed phone number is (269) 344-0874.

What is Kalamazoo Foot Surgery, P.C.'s specialty?

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

Is Kalamazoo Foot Surgery, P.C. enrolled in Medicare?

Yes. Kalamazoo Foot Surgery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kalamazoo Foot Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Podiatry, reassign their Medicare billing to Kalamazoo Foot Surgery, 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. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kalamazoo Foot Surgery, P.C. accept?

Health plans from Blue Care Network of Michigan list Kalamazoo Foot Surgery, 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 Kalamazoo Foot Surgery, P.C. was last updated on April 17, 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.