ALAA NAIM MANSOUR (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1962885699
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for ALAA NAIM MANSOUR (D.P.M)
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 481262793
Phone: (313) 565-4948
Fax: (313) 565-4989
Type: Location
17000 EXECUTIVE PLAZA DR
STE 101
DEARBORN, MI 481262793
Phone: (313) 565-4948
Fax: (313) 565-4989
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $4,345.
Total Amount is formed as General ($4,345) + Research ($0) + Ownership ($0) = $4,345.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($3,533).
Total Amount
$4,345
General + Research + Ownership
Payments
42
Total payment records
General Amount
$4,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $3,533 |
| DePuy Synthes Sales Inc. | $384 |
| Smith+Nephew, Inc. | $174 |
| Integra LifeSciences Corporation | $163 |
| Globus Medical, Inc. | $34 |
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: 2019-01-08
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 |
|---|---|---|---|---|
| I20190108002292 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 624 | 286 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 512 | 222 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 171 | 78 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 142 | 84 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 124 | 23 | $0 |
Insurance plans in this area (ZIP 48126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI |
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