Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alaa Fawaz, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1093455081

Dr. Alaa Fawaz, DPM is a Podiatry in Livonia, Michigan. Graduated from Barry University School of Podiatric Medicine in 2022, 4 years ago. Practices with Great Lakes Foot and Ankle Institute PLLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
Barry University School of Podiatric Medicine
Licensed in
MI
In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

14555 Levan Rd Ste E302
Livonia, MI 48154-5042
Phone: (734) 591-6612
Fax: (734) 591-6625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29201 Telegraph Road Suite 100, Southfield, MI 48034 — (248) 353-9300

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901400551 (MI)

Record details

NPI number1093455081
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Great Lakes Foot And Ankle Institute Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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