OrganizationActive
Michigans Premier Foot and Ankle PLLC
NPI 1962045161 · Foot & Ankle Surgery Podiatrist · Dearborn, MI
Provider details
- NPI number
- 1962045161
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Alaa Mansour, Sole Member(630) 808-9939
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
17000 Executive Plaza Dr Ste 101
Dearborn, MI 48126-2793
Phone: (313) 565-4948
Fax: (313) 565-4989
Street-level locationGet directions
Mailing address
5861 Deepwood Ct
Clarkston, MI 48346-3168
Registry dates
- Enumerated
- 2019-10-21
- Last updated
- 2019-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.