Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Center for Reconstructive Surgery of the Foot Ankle & Leg, Pllc

Foot & Ankle Surgery Podiatrist in Oak Park, MI · enumerated 2008 · authorized official Sehra Siddique, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104085083

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Registry record

Entity type Organization (Type 2)

Legal business name Center for Reconstructive Surgery of the Foot Ankle & Leg, Pllc

Other name <Unavail>

Practice address 13855 W 9 Mile Rd, Suite C, Oak Park, MI, 48237

Phone (248) 545-4110

Fax (248) 544-2502

Enumeration date Jun 5, 2008

Last updated in NPPES Aug 4, 2012

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 5901002201 (MI) Primary

Authorized official

Name Sehra Siddique

Title Manager

Phone (248) 545-4110

Other identifiers

Identifier	Type	State	Issuer
0P61440	Other	-	AETNA
0P61440	Medicaid	MI	-
4856319350	Other	MI	BCBSM
6140810001	Other	MI	MEDICARE NGS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-08-04. Verify at npiregistry.cms.hhs.gov.

Where is Center for Reconstructive Surgery of the Foot Ankle & Leg, Pllc located?

The practice location on file with NPPES is in Oak Park, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-04.