Individual provider Active NPI

Natalie Moussa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1760061477
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400548 Issued in MI
Practice address
29201 Telegraph Rd Ste 100
Southfield, MI 48034-7630
Phone
(248) 353-9300
Fax
(248) 353-9303
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400548 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 100
Southfield, MI 48034-7630

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

Other practice location 1

14555 LeVan Rd Ste E302
Livonia, MI 48154-5042
Phone (734) 591-6612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802002414 MI Practitioner - Podiatry 4789121187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Foot and Ankle Institute PLLCGroup PAC ID 1557323904, 15 clinicians
Michigan Foot and Ankle Center P CGroup PAC ID 6305936287, 2 clinicians

Practice addresses (Care Compare)

14555 Levan Rd
Suite E302
Livonia, MI 48154-5042
Phone (734) 591-6612

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions84
Removal of nail tissue271
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Foot & Ankle Institute PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Great Lakes Foot & Ankle Institute PLLC Current Accepting new patients
Michigan Foot and Ankle Center P C CurrentSince Jul 1, 2024 Accepting new patients
Great Lakes Foot & Ankle Institute PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3202

32743 23 Mile Rd
Ste 110
Chesterfield, MI 48047
Phone (586) 404-9703

14555 Levan Rd
Ste E302
Livonia, MI 48154
Phone (734) 591-6612

29201 Telegraph Rd
Ste 100
Southfield, MI 48034
Phone (248) 353-9300

Interoperability endpoints

  • Direct secure messaging: nmoussa3815846@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1760061477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347630",
            "telephone_number": "248-353-9300",
            "fax_number": "248-353-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14555 LeVan Rd Ste E302",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545042",
            "country_code": "US",
            "telephone_number": "734-591-6612",
            "fax_number": "734-591-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "NATALIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.