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

NPI Status: Active since June 05, 2008

Contact Information

13855 W 9 MILE RD
SUITE C
OAK PARK, MI
ZIP 48237
Phone: (248) 545-4110
Fax: (248) 544-2502

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance

About RECONSTRUCTIVE FOOT CLINIC

This page provides the complete NPI Profile along with additional information for Reconstructive Foot Clinic, a provider established in Oak Park, Michigan operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1104085083 assigned on June 2008. The practitioner's primary taxonomy code is 213ES0103X with license number 5901002201 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. Reconstructive Foot Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Reconstructive Foot Clinic. The authorized official of this NPI record is Sehra Siddique (Manager)

NPI
1104085083
Provider Legal Name
CENTER FOR RECONSTRUCTIVE SURGERY OF THE FOOT ANKLE & LEG, PLLC
Other Organization Name
RECONSTRUCTIVE FOOT CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13855 W 9 MILE RD SUITE C OAK PARK, MI 48237
Location Phone
(248) 545-4110
Location Fax
(248) 544-2502
Mailing Address
13855 W 9 MILE RD SUITE C OAK PARK, MI 48237
Mailing Phone
(248) 545-4110
Mailing Fax
(248) 544-2502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2008
Last Update Date
08-04-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
5901002201
License State
MI

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SEHRA SIDDIQUE

Authorized Official Title
MANAGER
Authorized Official Phone
(248) 545-4110

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4856319350OTHER (01)MIBCBSM
6140810001OTHER (01)MIMEDICARE NGS
0P61440MEDICAID (05)MI 
0P61440OTHER (01)AETNA
0P61440MEDICARE PIN (08)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104085083, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 8 + 1 + 0 + 0 + 1 + 6 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104085083.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
13855 W 9 MILE RD
OAK PARK, MI 48237
Occupational Therapist
13855 W 9 MILE RD
OAK PARK, MI 48237
Clinic/Center (Rehabilitation)
13855 W 9 MILE RD, SUITE A
OAK PARK, MI 48237
Physical Therapist
13855 W 9 MILE RD, SUITE A
OAK PARK, MI 48237
Home Health
13855 W 9 MILE RD, SUITE B
OAK PARK, MI 48237
Speech-Language Pathologist
13855 W 9 MILE RD
OAK PARK, MI 48237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104085083, enumerated as an "organization" on June 05, 2008.

The provider is located at 13855 W 9 MILE RD SUITE C OAK PARK, MI 48237 and the phone number is (248) 545-4110.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.