Jerad Booth, DPM

Public-record details

Address

2007 E 14 Mile Rd, Sterling Heights, MI 48310

Phone

(586) 244-9699

Listed under

Individual podiatrists, Foot and ankle surgery (registered)

NPI

1316562515

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Podiatrist, Foot & Ankle Surgery (213ES0103X)

Credentials listed

DPM

License number on NPI record

5901400501 (MI)

NPI first issued

Jun 12, 2020

Years since NPI first issued

6 years (since 2020)

License state on NPI record

MI

NPI record last updated

May 23, 2023

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

May accept Medicare assignment (case by case)

Professional school graduation (CMS)

2020 (6 years ago)

Professional school (CMS)

California School of Podiatric Medicine

Medicare group practice (CMS)

Bazzi Podiatry (9 clinicians)

Practice locations on file with Medicare (CMS)

2

NPI 1316562515 is active in the federal NPPES registry (CMS) with Podiatrist, Foot & Ankle Surgery as its self-reported primary taxonomy; license 5901400501 (MI) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1316562515 in the official registry ↗