Active NPI
Khalil & Usen DPM, PC
Doing business as Family Foot and Ankle Specialist
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
National Provider Identifier
1851347348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KHALIL & USEN DPM, PC
- Doing business as
- Family Foot and Ankle Specialist
- Practice address
- 1628 Ford Ave
Wyandotte, MI 48192-2304 - Phone
- (734) 284-1333
- Fax
- (734) 284-1311
- NPI assigned
- May 26, 2006
- Last updated
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Fayez Khalil, DPM
- Title
- V Pres
- Phone
- (734) 284-1333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
1628 Ford Ave
Wyandotte, MI 48192-2304
Mailing address
1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333
Other practice location 1
20770 Greenfield Rd
Oak Park, MI 48237-4221
Phone (248) 423-4220
Other practice location 2
24566 Southfield Rd
Southfield, MI 48075-2711
Phone (248) 423-4220
Other practice location 3
20770 Greenfield Rd
Oak Park, MI 48237-3018
Phone (248) 423-4220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H22778 | Other | MI | BLUE CROSS AND BLUE SHIELD OF MICHIGAN |
| DF5292 | Other | MI | RAILROAD MEDICARE |
Other names 1
- Family Foot and Ankle Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20770 Greenfield Rd
Oak Park, MI 48237
Phone (248) 423-4220
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Foot & Ankle Surgery Podiatrist
- Southfield, MI
- NPI 1164460481
-
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
- NPI 1619400694
-
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
- NPI 1053971390
-
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
- NPI 1336637651
-
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
- NPI 1144296153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591315200000",
"number": "1851347348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922304",
"telephone_number": "734-284-1333",
"fax_number": "734-284-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922304",
"telephone_number": "734-284-1333",
"fax_number": "734-284-1311"
}
],
"practiceLocations": [
{
"address_1": "20770 Greenfield Rd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "MI",
"postal_code": "482374221",
"country_code": "US",
"telephone_number": "248-423-4220",
"fax_number": "248-423-4221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24566 Southfield Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480752711",
"country_code": "US",
"telephone_number": "248-423-4220",
"fax_number": "248-423-4221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20770 Greenfield Rd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "MI",
"postal_code": "482373018",
"country_code": "US",
"telephone_number": "248-423-4220",
"fax_number": "248-423-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KHALIL & USEN DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "FAYEZ",
"authorized_official_title_or_position": "V PRES",
"authorized_official_telephone_number": "734-284-1333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF MICHIGAN",
"identifier": "0H22778",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF5292",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Foot and Ankle Specialist",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Foot and Ankle Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.