Organization Active NPI

Medical Care One Internal Medicine, PLC

  • Internal Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1053022889
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL CARE ONE INTERNAL MEDICINE, PLC
Practice address
2539 Ellsworth Rd Ste B
Ypsilanti, MI 48197-5619
Phone
(734) 330-2800
Fax
(734) 794-3411
NPI assigned
Dec 13, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Samer Nasry, MDNPI 1427002971
Title
Owner
Phone
(734) 330-2800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2539 Ellsworth Rd Ste B
Ypsilanti, MI 48197-5619

Mailing address

2539 Ellsworth Rd Ste B
Ypsilanti, MI 48197-5619
Phone (734) 330-2800

Other practice location 1

32663 Grand River Ave
Farmington, MI 48336-3111
Phone (248) 893-7255

Other practice location 2

1220 S University Ave Ste 212
Ann Arbor, MI 48104-2564
Phone (734) 531-6400

Other identifiers 1

IdentifierTypeStateIssuer
802942384OtherMIMI DEPT OF LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425000328 MI Part B Supplier - Clinic/Group Practice 5395100481 Receives reassigned benefits from 1 practitioner
Practice locations: Ypsilanti, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2300461Medical Care One, PLC1220 S University Avenue Suite 212, Ann Arbor, MI 48104Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

2539 Ellsworth Rd
Ypsilanti, MI 48197
Phone (734) 330-2800

2539 Ellsworth Rd
Ste B
Ypsilanti, MI 48197
Phone (734) 330-2800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1053022889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 ELLSWORTH RD STE B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975619",
            "telephone_number": "734-330-2800",
            "fax_number": "734-794-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 ELLSWORTH RD STE B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975619",
            "telephone_number": "734-330-2800",
            "fax_number": "734-794-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32663 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MI",
            "postal_code": "483363111",
            "country_code": "US",
            "telephone_number": "248-893-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S University Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042564",
            "country_code": "US",
            "telephone_number": "734-531-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL CARE ONE INTERNAL MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "NASRY",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-330-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI DEPT OF LICENSE",
            "identifier": "802942384",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.