Great Lakes Medical Group PC
NPI 1053787853ActiveOrganization· Internal Medicine· Eastpointe, MI
Internal Medicine in Eastpointe, Michigan, registered in NPPES in August 2015. The authorized official on file is Mohamad Rahbar, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053787853 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2015 |
| Last updated in NPPES | Aug 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 5315012655 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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