PORTAGE PODIATRY PC – Foot & Ankle Surgery Podiatrist, NPI 1295996502

PORTAGE PODIATRY PC is a healthcare provider. based in Portage, Michigan. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 5901001113 (MI). The NPI Number for PORTAGE PODIATRY PC is 1295996502

Main info

Organization
Name
PORTAGE PODIATRY PC
NPI
1295996502
Phone
(269) 327-4447
Address
1508 W CENTRE AVE
Authorized Official
DAVID A VANDERBIE PHYSICAN DPM
Enumeration Date
19 June 2008
Last Update Date
19 June 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for PORTAGE PODIATRY PC

  • 1508, West Centre Avenue, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490245356

    Phone: (269) 327-4447

    Fax: (269) 327-3120

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49024)

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Frequently asked questions

How do I look up PORTAGE PODIATRY PC by NPI?
Use NPI 1295996502 when you need to reference PORTAGE PODIATRY PC in forms, claims, or directories.
Is PORTAGE PODIATRY PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PORTAGE PODIATRY PC list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for PORTAGE PODIATRY PC. Clinical services aligned with this taxonomy classification.
Does PORTAGE PODIATRY PC practice in Michigan?
You will see Portage, Michigan on file for PORTAGE PODIATRY PC alongside any extra practice locations.
Is PORTAGE PODIATRY PC a real provider?
This page reflects official NPPES data for NPI 1295996502. Always confirm identity and privileges with the practice and licensing boards.

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