Issam Nabeeh Mansour, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

590100217 Issued in MI

Practice address

33470 Lyndon St Ste 100
Livonia, MI 48154-5424

Phone

(734) 744-5661

Fax

(734) 744-5512

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Podiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

97.46

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imansour1140090@direct.hfhs.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: issam.mansour@aafcs-mi.direct.office.nextgen.com

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.

• Ankle & Foot Care Specialists PLLC

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
  • NPI 1336419670
  Medicare reassignment NPD Authorized official
• Advanced Foot & Ankle Care Center 2 PLLC

  • Foot & Ankle Surgery Podiatrist
  • Royal Oak, MI
  • NPI 1922275478
  NPD (past) Authorized official
• Guy Saperstein DPM PC

  • Podiatrist
  • Redford, MI
  • NPI 1417139197
  NPD (past)
• Michael E. Graham, DPM, PC

  dba Center for Foot & Ankle Disorders

  • Foot & Ankle Surgery Podiatrist
  • Shelby Township, MI
  • NPI 1194925321
  NPD (past)
• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1881712008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33470 LYNDON ST STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545424",
            "telephone_number": "737-744-5661",
            "fax_number": "734-744-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33470 LYNDON ST STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545424",
            "telephone_number": "734-744-5661",
            "fax_number": "734-744-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ISSAM",
        "middle_name": "NABEEH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "590100217",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajith Rengarajan Manipala, DDS
• Asiya Naeem Manjlai
• Raja Canice Manning
• Alielhadi Mansour
• Alisya Mansour
• Olivia Lauren Manta
• Manuel J Kaner DDS PC
• Manuel MC LLC
• Ebony Manuel, LLPC
• Steven Manza, LMSW, CADC

• Podiatrist in Livonia, MI
• Providers in Livonia, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.