Organization Active NPI

M & M Foot and Ankle Specialists PLLC

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
National Provider Identifier
1467091066
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
M & M FOOT AND ANKLE SPECIALISTS PLLC
Practice address
2385 Bowes Rd Ste 350
Elgin, IL 60123-5501
Phone
(630) 822-2445
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Mansoor Ahmed, DPMNPI 1821442237
Title
Owner
Phone
(630) 822-2445

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2385 Bowes Rd Ste 350
Elgin, IL 60123-5501

Mailing address

56 Ruffled Feathers Dr
Lemont, IL 60439-7747
Phone (630) 822-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200309001284 IL Part B Supplier - Clinic/Group Practice 1254769136 Receives reassigned benefits from 2 practitioners
Practice locations: Elgin, IL
O20230120002017 IN Part B Supplier - Clinic/Group Practice 1254769136 Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1467091066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 RUFFLED FEATHERS DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397747",
            "telephone_number": "630-822-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 BOWES RD STE 350",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235501",
            "telephone_number": "630-822-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M FOOT AND ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-822-2445",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.