Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC
NPI 1104085083 · Foot & Ankle Surgery Podiatrist · Oak Park, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC is a Foot & Ankle Surgery Podiatrist organization in Oak Park, MI (NPI 1104085083).
Provider details
- NPI number
- 1104085083
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Sehra Siddique, Manager(248) 545-4110
- License
- 5901002201 (MI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Reconstructive Foot Clinic
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2012-08-04
Frequently asked questions
- What is Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's NPI number?
- Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's National Provider Identifier (NPI) is 1104085083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC?
- Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC located?
- Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's practice location on file with NPPES is 13855 W 9 Mile Rd, Oak Park, MI 48237-2775.
- What is Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC is (248) 545-4110.
- Does Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC accept Medicare?
- Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC?
- The authorized official listed on Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's NPPES record is Sehra Siddique, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's NPI active?
- Yes — Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's NPI (1104085083) is active in the NPPES registry as of the last update on 2012-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.