DR. MICHAEL LAWRENCE MICHETTI DPM NPI 1245220789

NPI Information

  • NPI: 1245220789
  • Provider Name: DR. MICHAEL LAWRENCE MICHETTI, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 702 RUSSELL AVE
    GAITHERSBURG, MD
    ZIP 20877
  • Phone: (301) 948-3668

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NPI Details

DR. Michael Lawrence Michetti, DPM is a foot and ankle surgery podiatrist in Gaithersburg, MD. DR. Michael Lawrence Michetti, DPM NPI is 1245220789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

702 RUSSELL AVE
GAITHERSBURG, MD
ZIP 20877-606
Phone: (301) 948-3668
Fax: (301) 926-7787

The enumeration date for this NPI number is 10/26/2005 and was last updated on 12/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery00270MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1481007927MEDICARE PINDISTRICT OF COLUMBIA
2T31082MEDICARE UPIN
3601608100MEDICAIDDISTRICT OF COLUMBIA
4400209D98MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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