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RENOVO WOUND OF MICHIGAN PLLC
NPI 1124967575
Family Medicine in Okemos, MI

Active since March 27, 2026
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864(708) 263-5622 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Renovo Wound Of Michigan Pllc NPPES

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

RENOVO WOUND OF MICHIGAN PLLC (NPI 1124967575) is a healthcare organization registered as a family medicine in Okemos, Michigan and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Lombard and lists Owais Iqbal, Owner, as its authorized official.

NPPES Registry Identity

NPI1124967575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRENOVO WOUND OF MICHIGAN PLLC
Location Address2222 W GRAND RIVER AVE STE AOkemos, MI 48864-1604
Mailing Address2222 W Grand River Ave Ste AOkemos, MI 48864-1604
Phone(708) 263-5622
Organization SubpartNo
Authorized OfficialOwais IqbalOwner · (708) 263-5622
Enumeration DateMarch 27, 2026
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1124967575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2222 W GRAND RIVER AVE STE A, Okemos, MI 48864
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Secondary Practice Location 1

Location 1246 E Janata Blvd Ste 305Lombard, IL 60148-5383 · Phone (708) 263-5622

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 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)

Renovo Wound Of Michigan Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Renovo Wound Of Michigan PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Adeel Khan, DO
Family Practice
NPI 1427614668
37771 SCHOENHERR RD STE 102
Sterling Heights, MI 48312
(586) 978-1300
✔ PECOS✔ Accepts Medicare74 mi
Owais Iqbal, MD
Family Practice
NPI 1184911695
612 N 11TH ST
Quincy, IL 62301
(217) 224-9484
✔ PECOS✔ Accepts Medicare410 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 Renovo Wound Of Michigan PLLC's NPI number?

The NPI number for Renovo Wound Of Michigan PLLC is 1124967575. It was assigned to this organization in the NPPES registry on March 27, 2026.

Where is Renovo Wound Of Michigan PLLC located?

Renovo Wound Of Michigan PLLC is located at 2222 W Grand River Ave Ste A, Okemos, MI 48864. The listed phone number is (708) 263-5622.

What is Renovo Wound Of Michigan PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Renovo Wound Of Michigan PLLC enrolled in Medicare?

Yes. Renovo Wound Of Michigan PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renovo Wound Of Michigan PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Renovo Wound Of Michigan 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 Renovo Wound Of Michigan PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Renovo Wound Of Michigan 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 Renovo Wound Of Michigan PLLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.