GFC OF SOUTHEASTERN MICHIGAN, PC
NPI 1316191679
Podiatrist - Foot & Ankle Surgery in Detroit, MI

Active since November 12, 2008CLIA 23D2199088 · Waiver
4160 JOHN R ST STE 1011, DETROIT, MI 48201(313) 833-3090(313) 833-7843 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1316191679
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGFC OF SOUTHEASTERN MICHIGAN, PC
Location Address4160 JOHN R ST STE 1011Detroit, MI 48201-2017
Mailing Address4160 John R St Ste 111Detroit, MI 48201-2021 · (313) 833-3090 · Fax (313) 833-7843
Fax(313) 833-7843
Organization SubpartNo
Authorized OfficialManisha MehtaPhysician · (313) 833-3090
Enumeration DateNovember 12, 2008
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
NPI 1316191679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MI · 5901002275
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
4160 JOHN R ST STE 1011, Detroit, MI 48201

Other Identifiers 3

Medicaid1417136029MI
Other82028141MI · Procare
Other1316191679MI · Medicare Npi

Accepted Insurance

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, MI
Active · expires Nov 4, 2026
CLIA Number23D2199088
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorManisha Mehta
Laboratory Phone(313) 833-3090
Laboratory LocationGfc Of Southeastern Michigan, PC4160 John R Suite 1011, Detroit, MI 48201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Primary Podiatric Medicine)
4160 JOHN R ST STE 1011
DETROIT, MI 48201
Internal Medicine (Pulmonary Disease)
4160 JOHN R ST STE 1011, HARPER PROFESSIONAL BUILDING
DETROIT, MI 48201

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 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.

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 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 8 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.