DR. ISSAM NABEEH MANSOUR (DPM) – Podiatrist, NPI 1881712008
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for DR. ISSAM NABEEH MANSOUR (DPM)
39445 NORTHWIND CT
NORTHVILLE, MI 481673932
Phone: (248) 888-9500
Type: Mailing
38525 8 MILE RD
LIVONIA, MI 481521012
Phone: (248) 888-9504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $717.
Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($522).
Total Amount
$717
General + Research + Ownership
Payments
8
Total payment records
General Amount
$717
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $522 |
| Solventum Corporation | $104 |
| DePuy Synthes Sales Inc. | $91 |
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: 2007-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070914000074 | I | Podiatry | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11730 | Simple separation of fingernail or toenail from nail bed, first nail | 606 | 185 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 601 | 157 | $0 |
| 11732 | Simple separation of fingernail or toenail from nail bed, each additional nail | 540 | 174 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 48 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 103 | 61 | $0 |
Insurance plans in this area (ZIP 48167)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MI | 11042 | Removal of skin and tissue first 20 sq cm or less | 57 | 18 |
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