GFC OF SOUTHEASTERN MICHIGAN, PC
NPI 1316191679
Podiatrist - Foot & Ankle Surgery in Detroit, MI
About Gfc Of Southeastern Michigan, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GFC OF SOUTHEASTERN MICHIGAN, PC (NPI 1316191679) is a healthcare organization registered as a foot & ankle surgery in Detroit, Michigan and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Manisha Mehta, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gfc Of Southeastern Michigan, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gfc Of Southeastern Michigan, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2199088
Gfc Of Southeastern Michigan, PC · Detroit, MIFrequently 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 Gfc Of Southeastern Michigan, PC's NPI number?
The NPI number for Gfc Of Southeastern Michigan, PC is 1316191679. It was assigned to this organization in the NPPES registry on November 12, 2008.
Where is Gfc Of Southeastern Michigan, PC located?
Gfc Of Southeastern Michigan, PC is located at 4160 John R St Ste 1011, Detroit, MI 48201. The listed phone number is (313) 833-3090.
What is Gfc Of Southeastern Michigan, PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Gfc Of Southeastern Michigan, PC enrolled in Medicare?
Yes. Gfc Of Southeastern Michigan, PC is registered in the Medicare PECOS enrollment system.
When is Gfc Of Southeastern Michigan, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gfc Of Southeastern Michigan, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Gfc Of Southeastern Michigan, PC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gfc Of Southeastern Michigan, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2199088) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gfc Of Southeastern Michigan, PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Gfc Of Southeastern Michigan, PC 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 Gfc Of Southeastern Michigan, PC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Gfc Of Southeastern Michigan, Pc · NPI 1316191679
Foot & Ankle Surgery organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since November 12, 2008.
## Identity
- **NPI:** 1316191679 (Entity type: Organization)
- **Enumerated:** November 12, 2008
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Manisha Mehta, PHYSICIAN
## Practice location
- **Address:** 4160 JOHN R ST STE 1011, Detroit, MI 48201-2017
- **Phone:** (313) 833-3090 · **Fax:** (313) 833-7843
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2025
- **Other identifiers:** Medicaid 1417136029 (MI); Other 82028141 (MI); Other 1316191679 (MI)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1316191679) · Data from the CMS NPPES public registry.