DR. ALAA FAWAZ (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1093455081

DR. ALAA FAWAZ (DPM) is a healthcare provider. based in Southfield, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400551 (MI). The NPI Number for DR. ALAA FAWAZ (DPM) is 1093455081

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAA FAWAZ (DPM)
NPI
1093455081
Phone
(248) 353-9300
Address
29201 Telegraph Road Suite 100
Enumeration Date
29 March 2022
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5867253444
Graduation Year
2022 (4 years ago)
PAC ID
5991186835
Group Practice PAC ID
1557323904
Professional Enrollment ID
I20250703000873
Address ID
MI480347630SO29201RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. ALAA FAWAZ (DPM)

  • 29201 Telegraph Road Suite 100

    Southfield, MI 48034

    Phone: (248) 353-9300

    Type: Location

  • 16001 W 9 MILE RD FL 2

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-3415

    Type: Mailing

  • PO BOX 25593

    NEW YORK, NY 100875593

    Phone: (708) 424-3201

    Fax: (708) 424-5001

    Type: Mailing

  • 14555 LEVAN RD STE E302

    LIVONIA, MI 481545042

    Phone: (734) 591-6612

    Fax: (734) 591-6625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,236.

Total Amount is formed as General ($1,236) + Research ($0) + Ownership ($0) = $1,236.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($160).

Total Amount

$1,236

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2025-07-03

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
I20250703000873IPodiatryMITBD

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.

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

Insurance plans in this area (ZIP 48034)

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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: 1557323904View full group profile
NameSpecialtyState
P O D I A T R YMI
-PA
P O D I A T R YIL
P O D I A T R YMI
Thoracic Surgery, General SurgeryMI
P O D I A T R YMI
Nurse PractitionerMI
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 is the standard ID for DR. ALAA FAWAZ (DPM) in the U.S.?
In the U.S., DR. ALAA FAWAZ (DPM) is identified by NPI 1093455081.
Should I treat DR. ALAA FAWAZ (DPM) as an active provider?
Patients and plans typically see DR. ALAA FAWAZ (DPM) as active in the national extract.
How should patients interpret DR. ALAA FAWAZ (DPM)'s specialty?
The extract shows Foot & Ankle Surgery Podiatrist for DR. ALAA FAWAZ (DPM). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALAA FAWAZ (DPM)?
DR. ALAA FAWAZ (DPM) shows a connection to Southfield, Michigan in registry-derived data.
Can I export DR. ALAA FAWAZ (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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