Michigan Health Practice PLLC

Organization Active NPI Sports Medicine (Family Medicine) Physician · Farmington Hills, MI

NPI 1033901723 · NPPES record last updated May 20, 2025

Key facts

NPI
1033901723
Entity type
Organization (NPI type 2)
Primary specialty
Sports Medicine (Family Medicine) Physician 207QS0010X
Legal business name
MICHIGAN HEALTH PRACTICE PLLC
Practice address
27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006
Phone
(248) 702-5050
Fax
(877) 408-1039
NPI assigned
May 20, 2025
Organization subpart
No

Authorized official

Name
John Maarouf, DO NPI 1497174478
Title
Owner
Phone
(586) 994-1816

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

Practitioners 4

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2335969Michigan Health Practice
27750 Middlebelt Road Suite 100, Farmington Hills, MI 48334
Certificate of waiverDec 21, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250812001190 MI Part B Supplier - Clinic/Group Practice 2163920810 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207QS0010X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006

Mailing address

27750 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5006
Phone (248) 702-5050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2025.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1033901723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27750 MIDDLEBELT RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345006",
            "telephone_number": "248-702-5050",
            "fax_number": "877-408-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27750 MIDDLEBELT RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345006",
            "telephone_number": "248-702-5050",
            "fax_number": "877-408-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEALTH PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "MAAROUF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-994-1816",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

All providers in Farmington Hills, MI · Sports Medicine (Family Medicine) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.