DR. WISSAM DIMACHK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1598151128

DR. WISSAM DIMACHK (DPM) is a healthcare provider. based in Warren, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901002567 (MI). The NPI Number for DR. WISSAM DIMACHK (DPM) is 1598151128

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. WISSAM DIMACHK (DPM)
NPI
1598151128
Phone
(586) 573-7470
Address
11900 E 12 MILE RD STE 102
Enumeration Date
10 April 2015
Last Update Date
4 July 2018

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5869791060
Graduation Year
2015 (11 years ago)
PAC ID
7911260096
Group Practice PAC ID
4486741477
Professional Enrollment ID
I20180619002660
Address ID
MI480923795WA3701XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. WISSAM DIMACHK (DPM)

  • 11900 E 12 MILE RD STE 102

    WARREN, MI 480933487

    Phone: (586) 573-7470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,848.

Total Amount is formed as General ($1,848) + Research ($0) + Ownership ($0) = $1,848.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Arthrex, Inc. ($600).

Total Amount

$1,848

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,848

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180619002660IPodiatryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails543177$0
99213Established patient office or other outpatient visit, 20-29 minutes158101$0
73630X-ray of foot, minimum of 3 views10565$0
11042Removal of skin and tissue, 20.0 sq cm or less10018$0
11720Removal of fingernails or toenails, 1-5 nails7625$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486741477View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI

Reviews

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Frequently asked questions

What NPI should I save for DR. WISSAM DIMACHK (DPM)?
Save NPI 1598151128 if you need a stable reference for DR. WISSAM DIMACHK (DPM).
Does this profile mean DR. WISSAM DIMACHK (DPM) is currently active?
Yes — DR. WISSAM DIMACHK (DPM) appears active in the national provider directory.
Does DR. WISSAM DIMACHK (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for DR. WISSAM DIMACHK (DPM). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. WISSAM DIMACHK (DPM)?
The page summarizes Warren, Michigan for DR. WISSAM DIMACHK (DPM); expand the address list for detail.
How can I contact DR. WISSAM DIMACHK (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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