NPIMap

Organization Active NPI

Integrated & Preventative Health Care Associates PLC

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1033570577
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081351 Issued in MI
Legal business name
INTEGRATED & PREVENTATIVE HEALTH CARE ASSOCIATES PLC
Practice address
2300 Haggerty Rd Ste 2140
West Bloomfield, MI 48323-2191
Phone
(248) 669-5050
Fax
(248) 669-1700
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Suzan Mokhayesh Syed, M.D.NPI 1992899827
Title
President
Phone
(248) 396-5358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301081351 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 2140
West Bloomfield, MI 48323-2191

Mailing address

4057 Pioneer Dr Ste 300
Commerce Township, MI 48390-1363
Phone (248) 669-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608001624 MI Part B Supplier - Clinic/Group Practice 9032409701 Receives reassigned benefits from 6 practitioners
Practice locations: Commerce TWP, MI

National Provider Directory

National Provider Directory

Locations

4057 Pioneer Dr
Ste 300
Commerce Township, MI 48390
Phone (248) 669-5050

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1033570577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 PIONEER DR STE 300",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901363",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED & PREVENTATIVE HEALTH CARE ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "MOKHAYESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-396-5358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.