Individual provider Active NPI

John Poules, PA-C

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1043656135
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone
(586) 754-0000
NPI assigned
May 15, 2013
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146

Mailing address

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311001386 MI Practitioner - Physician Assistant 8729300462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians

Practice addresses (Care Compare)

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoover Urgent Care of Warren PLLC CurrentSince Aug 24, 2025 Accepting new patients

Locations

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1043656135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107146",
            "telephone_number": "586-754-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107146",
            "telephone_number": "586-754-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULES",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.