Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALLEN PRIMARY PODIATRY
NPI 1699432286
Podiatrist - Foot & Ankle Surgery in Dearborn, MI

Active since November 18, 2021
12940 W WARREN AVE, DEARBORN, MI 48126(734) 895-4530(313) 447-2280 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 16, 2023, Nov 18, 2021 (2 updates tracked since 2021).

About Allen Primary Podiatry NPPES

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

ALLEN PRIMARY PODIATRY (NPI 1699432286) is a healthcare organization registered as a foot & ankle surgery in Dearborn, Michigan and active in the NPI registry since November 2021. The organization lists Alex Bouhachem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699432286
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameALLEN PRIMARY PODIATRY
Location Address12940 W WARREN AVEDearborn, MI 48126-1535
Mailing Address1813 N Rosevere AveDearborn, MI 48128-1242 · (734) 895-4530 · Fax (313) 447-2280
Fax(313) 447-2280
Organization SubpartNo
Authorized OfficialAlex BouhachemCeo · (734) 895-4530
Enumeration DateNovember 18, 2021
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1699432286 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
12940 W WARREN AVE, Dearborn, MI 48126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen Primary Podiatry 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 Allen Primary Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1912905340
12940 W WARREN AVE
Dearborn, MI 48126
(734) 895-4530
✔ PECOSSame address

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 Allen Primary Podiatry's NPI number?

The NPI number for Allen Primary Podiatry is 1699432286. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Allen Primary Podiatry located?

Allen Primary Podiatry is located at 12940 W Warren Ave, Dearborn, MI 48126. The listed phone number is (734) 895-4530.

What is Allen Primary Podiatry's specialty?

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

Is Allen Primary Podiatry enrolled in Medicare?

Yes. Allen Primary Podiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allen Primary Podiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Allen Primary Podiatry. 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.

When was this NPI record last updated?

The NPPES record for Allen Primary Podiatry was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.