RECONSTRUCTIVE FOOT CLINIC
NPI 1104085083
Podiatrist - Foot & Ankle Surgery in Oak Park, MI

Q: What is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since June 05, 2008

13855 W 9 MILE RD, SUITE C, OAK PARK, MI 48237(248) 545-4110(248) 544-2502 Get Directions Write a Review

NPPES record last updated: August 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Reconstructive Foot Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECONSTRUCTIVE FOOT CLINIC (NPI 1104085083) is a healthcare organization registered as a foot & ankle surgery in Oak Park, Michigan and active in the NPI registry since June 2008. The organization lists Sehra Siddique, Manager, as its authorized official.

NPPES Registry Identity

NPI1104085083

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameCENTER FOR RECONSTRUCTIVE SURGERY OF THE FOOT ANKLE & LEG, PLLC

Location Address13855 W 9 MILE RD, SUITE COak Park, MI 48237-2775

Mailing Address13855 W 9 Mile Rd, Suite COak Park, MI 48237-2775 · (248) 545-4110 · Fax (248) 544-2502

Phone(248) 545-4110

Fax(248) 544-2502

Organization SubpartNo

Authorized OfficialSehra SiddiqueManager · (248) 545-4110

Enumeration DateJune 5, 2008

Last NPPES UpdateAugust 4, 2012

✔ NPI 1104085083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MI · 5901002201

13855 W 9 MILE RD, Oak Park, MI 48237

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Other Names 1

Doing Business AsReconstructive Foot Clinic

Other Identifiers 5

Other4856319350MI · Bcbsm

Other6140810001MI · Medicare Ngs

Medicaid0P61440MI

Other0P61440Aetna

Medicare PIN0P61440MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reconstructive Foot Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reconstructive Foot Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shahzad Qureshi, DPM

Podiatry

NPI 1558588582

21000 MIDDLEBELT RD STE C
Farmington Hills, MI 48336

(248) 545-4110

✔ PECOS✔ Accepts Medicare7.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC's NPI number?

The NPI number for Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC is 1104085083. It was assigned to this organization in the NPPES registry on June 5, 2008. The provider is doing business as Reconstructive Foot Clinic.

Where is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC located?

Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC is located at 13855 W 9 Mile Rd Suite C, Oak Park, MI 48237. The listed phone number is (248) 545-4110.

What is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC enrolled in Medicare?

Yes. Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC was last updated on August 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.