Elite Prime Care PLLC
NPI 1104542828ActiveOrganization· Internal Medicine· Canton, MI
Internal Medicine in Canton, Michigan, registered in NPPES in October 2022. The authorized official on file is Mohamed Nasser, MD, Managing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104542828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2022 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Oct 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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