South Lyon Foot & Ankle Specialists, P.C.
NPI 1003809682 · Podiatrist · South Lyon, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Lyon Foot & Ankle Specialists, P.C. is a Podiatrist organization in South Lyon, MI (NPI 1003809682).
Provider details
- NPI number
- 1003809682
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Mastrogiocomo, Owner/President/Podiatrist(248) 486-8886
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-29
- Last updated
- 2022-07-21
Frequently asked questions
- What is South Lyon Foot & Ankle Specialists, P.C.'s NPI number?
- South Lyon Foot & Ankle Specialists, P.C.'s National Provider Identifier (NPI) is 1003809682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lyon Foot & Ankle Specialists, P.C.?
- South Lyon Foot & Ankle Specialists, P.C. is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is South Lyon Foot & Ankle Specialists, P.C. located?
- South Lyon Foot & Ankle Specialists, P.C.'s practice location on file with NPPES is 22245 Pontiac Trl, South Lyon, MI 48178-1639.
- What is South Lyon Foot & Ankle Specialists, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Lyon Foot & Ankle Specialists, P.C. is (248) 486-8886.
- Does South Lyon Foot & Ankle Specialists, P.C. accept Medicare?
- South Lyon Foot & Ankle Specialists, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Lyon Foot & Ankle Specialists, P.C.?
- The authorized official listed on South Lyon Foot & Ankle Specialists, P.C.'s NPPES record is Anthony Mastrogiocomo, Owner/President/Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lyon Foot & Ankle Specialists, P.C.'s NPI active?
- Yes — South Lyon Foot & Ankle Specialists, P.C.'s NPI (1003809682) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.