Summit Podiatry Group PC
NPI 1295825099ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Jackson, MI
Podiatrist, Foot & Ankle Surgery in Jackson, Michigan, registered in NPPES in October 2006. The authorized official on file is Kristi J. Ledbetter, DPM, Vice President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1295825099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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