Renovo Wound of Michigan PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RENOVO WOUND OF MICHIGAN PLLC

Practice address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Phone

(708) 263-5622

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Owais Iqbal, MDNPI 1184911695

Title

Owner

Phone

(708) 263-5622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Owais M Iqbal, MD

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1184911695

  MI

  Medicare reassignment NPD Authorized official
• Adeel Khan, DO

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1427614668
  Medicare reassignment
• Aamir Mahmood, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Michigan City, IN
  • NPI 1902359714
  NPD

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1124967575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "708-263-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 E Janata Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485383",
            "country_code": "US",
            "telephone_number": "708-263-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENOVO WOUND OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "OWAIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-263-5622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.