Prosperity Medical Clinical Group
NPI 1164359451ActiveOrganization· Family Medicine· Plymouth, MI
Family Medicine in Plymouth, Michigan, registered in NPPES in May 2026, part of Prosperity Medical, LLC. The authorized official on file is Tiffany Yang, Secretary.
Overview
| NPI | 1164359451 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prosperity Medical, LLC |
| NPI issued | May 8, 2026 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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