Organization Active NPI

Advanced Foot & Ankle PC

  • Podiatrist
  • Clarkston, MI
National Provider Identifier
1023129236
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANCED FOOT & ANKLE PC
Practice address
8631 Sequoyah CT
Clarkston, MI 48348-3467
Phone
(248) 762-2427
Fax
(248) 694-0984
NPI assigned
Aug 31, 2006
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rajeev Sehgal, DPMNPI 1184723413
Title
Owner
Phone
(248) 762-2427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MI Primary

Addresses

Primary practice location

8631 Sequoyah CT
Clarkston, MI 48348-3467

Mailing address

8631 Sequoyah CT
Clarkston, MI 48348-3467
Phone (248) 762-2427

Other practice location 1

8631 Sequoyah Ct
Clarkston, MI 48348-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727000082 MI Part B Supplier - Clinic/Group Practice 1658309158 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI; Sault Sainte Marie, MI; Clarkston, MI

National Provider Directory

National Provider Directory

Locations

32905 W 12 Mile Rd
Ste 110
Farmington Hills, MI 48334
Phone (248) 553-0016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1023129236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 SEQUOYAH CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483467",
            "telephone_number": "248-762-2427",
            "fax_number": "248-694-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 SEQUOYAH CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483467",
            "telephone_number": "248-762-2427",
            "fax_number": "248-694-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8631 Sequoyah Ct",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483483467",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "SEHGAL",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-762-2427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.