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LONG LAKE PODIATRY PC
NPI 1962526624
Podiatrist - Foot & Ankle Surgery in Troy, MI

Active since March 19, 2007
2914 E LONG LAKE RD, TROY, MI 48085(248) 528-0709(248) 528-1807 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Long Lake Podiatry Pc NPPES

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

LONG LAKE PODIATRY PC (NPI 1962526624) is a healthcare organization registered as a foot & ankle surgery in Troy, Michigan and active in the NPI registry since March 2007. The organization lists Amy Dooley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962526624
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLONG LAKE PODIATRY PC
Location Address2914 E LONG LAKE RDTroy, MI 48085-3780
Mailing Address2914 E Long Lake RdTroy, MI 48085-3780 · (248) 528-0709 · Fax (248) 528-1807
Phone(248) 528-0709
Fax(248) 528-1807
Organization SubpartNo
Authorized OfficialAmy DooleyOffice Manager · (248) 528-0709
Enumeration DateMarch 19, 2007
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1962526624 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 · 5901001005
2914 E LONG LAKE RD, Troy, MI 48085
Open in Google Maps ↗

Other Identifiers 5

Other5631470MI · Blue Cross Blue Shield
Other89594BMI · Hap
Other480002521MI · Railroad Mcr
Medicaid1634294MI
Other0005335144MI · Aetna

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, 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)

Long Lake Podiatry Pc 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 Long Lake Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Berlin, DPM
Podiatry
NPI 1801803309
2914 E LONG LAKE RD
Troy, MI 48085
(248) 528-0709
✔ PECOSSame 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 Long Lake Podiatry PC's NPI number?

The NPI number for Long Lake Podiatry PC is 1962526624. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Long Lake Podiatry PC located?

Long Lake Podiatry PC is located at 2914 E Long Lake Rd, Troy, MI 48085. The listed phone number is (248) 528-0709.

What is Long Lake Podiatry PC's specialty?

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

Is Long Lake Podiatry PC enrolled in Medicare?

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

How many clinicians bill Medicare through Long Lake Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Long Lake 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Long Lake Podiatry PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Long Lake 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 Long Lake Podiatry PC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.