ALAA NAIM MANSOUR D.P.M
NPI 1962885699
Podiatrist - Foot & Ankle Surgery in Dearborn, MI

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
17000 EXECUTIVE PLAZA DR STE 101, DEARBORN, MI 48126(313) 565-4948(313) 565-4989 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2019, Jul 9, 2019, Jan 2, 2019 and 1 more (4 updates tracked since 2018).

About Alaa Naim Mansour D.p.m NPPES

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

ALAA NAIM MANSOUR D.P.M (NPI 1962885699) is an individual foot & ankle surgery provider in Dearborn, Michigan, licensed in Michigan (5901002591) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Wayne Hospital, and is a graduate of William M. Scholl College Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1962885699
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameALAA NAIM MANSOURCredential: D.P.M
Location Address17000 EXECUTIVE PLAZA DR STE 101Dearborn, MI 48126-2793
Mailing Address17000 Executive Plaza Dr, Ste 101Dearborn, MI 48126-2793 · (313) 565-4948 · Fax (313) 565-4989
Fax(313) 565-4989
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateOctober 21, 20194 updates tracked since enumeration
✔ NPI 1962885699 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
License✔ Licensed in MI · 5901002591
17000 EXECUTIVE PLAZA DR STE 101, Dearborn, MI 48126

Other Identifiers 1

Medicaid300013898IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alaa Naim Mansour D.p.m is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729342365
PECOS Enrollment IDI20190108002292
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Alaa Mansour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
17000 EXECUTIVE PLAZA DR STE 101
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Jiab Suleiman Do PC
  • 3 clinicians in this Medicare group
Foot & Ankle Surgery
30775 STEPHENSON HWY
Madison Heights, MI 48071
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
Foot & Ankle Surgery
3768 PACKARD ST, SUITE A
Ann Arbor, MI 48108
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
529 services179 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
458 services191 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
242 services101 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
202 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services80 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
102 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
6 suppliers20 claims40 services$58.26 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
4 suppliers13 claims75 services$36.54 avg. paid by Medicare
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397
DME-Orthotic Devices · category DF000N
1 supplier13 claims20 services$136.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Orthopaedic Surgery
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 48126
Durable Medical Equipment & Medical Supplies
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 48126
Orthopaedic Surgery
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 48126
Podiatrist (Foot & Ankle Surgery)
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 48126

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 Alaa Mansour's NPI number?

The NPI number for Alaa Mansour is 1962885699. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Alaa Mansour located?

Alaa Mansour practices at 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126. The listed phone number is (313) 565-4948.

What is Alaa Mansour's specialty?

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

Is Alaa Mansour enrolled in Medicare?

Yes. Alaa Mansour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alaa Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alaa Mansour reassigns Medicare benefits to 3 organizations: Jiab Suleiman, Do, P.C. (Dearborn, MI), Bc Podiatry PLLC (Madison Heights, MI) and Bradley E Seel DPM PC (Ann Arbor, MI). Each 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 Alaa Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alaa Mansour accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Alaa Mansour 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.

Is Alaa Mansour affiliated with any hospitals?

According to CMS data, Alaa Mansour is affiliated with Corewell Health Wayne Hospital.

When was this NPI record last updated?

The NPPES record for Alaa Mansour was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.