Issam Nabeeh Mansour, DPM
NPI 1881712008ActiveIndividual· Podiatrist· Livonia, MI
Podiatrist (DPM) in Livonia, Michigan, licensed in MI, with an NPI issued in March 2007. 153 Medicare patients in 2024, $254,608 paid; all of their 55 Part D prescriptions were generic. Treace Medical Concepts, Inc. was the largest of 3 companies reporting payments in 2025, $1,975 in all, mostly travel and lodging. Lists Ascension Providence Hospital, Southfield and Novi as a hospital affiliation.
Overview
| NPI | 1881712008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | Mar 26, 2007 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 590100217 | MI |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 5901002177 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 1,863 across 31 procedure codes |
| Paid by Medicare | $254,608 |
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 55 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $906.59 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Podiatry |
Hospital affiliation
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
Industry payments (Open Payments)
- 2025$1,975 · 17 payments from 3 companies
- 2024$142.27 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Treace Medical Concepts, Inc. | $1,900 | 13 |
| Mimedx Group, Inc. | $51.61 | 3 |
| Surgenex LLC | $24.03 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,531 · 3 payments
- Food and Beverage$444.51 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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