Michigan Primary Care PLLC
NPI 1669799128ActiveOrganization· Specialist· Sterling Heights, MI
Specialist in Sterling Heights, Michigan, registered in NPPES in April 2010. The authorized official on file is Lisa Brown, CPC, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669799128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2010 |
| Last updated in NPPES | May 16, 2024 |
| Certified by provider | May 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ZP064027 | MI |
| Specialist | 174400000X | DM050196 | MI |
| Internal Medicine | 207R00000X | 4301064027 | 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 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) |
|---|
Other Specialist providers in Sterling Heights
- 1851566301
- 1982722047
- 1811900541
- 1316265150
- 1568532836
- 1114305356
- 1003095043
- 1841632478
- 1619835147
- 1407309016
- 1861241937
- 1740553700