Elite Prime Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE PRIME CARE PLLC

Practice address

8542 N Canton Center Rd
Canton, MI 48187-1310

Phone

(734) 455-8310

Fax

(313) 337-8984

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Nasser, MDNPI 1558890277

Title

Managing Director

Phone

(313) 207-2460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Mohamed Nasser, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1558890277
  Medicare reassignment Care Compare group NPD Authorized official
• Sukhwinder Kaur Pabla

  • Nurse Practitioner
  • Canton, MI
  • NPI 1871226043
  Medicare reassignment Care Compare group NPD
• Noveen Rehman, AGACNP

  • Medical-Surgical Registered Nurse
  • Detroit, MI
  • NPI 1831883420

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ashraf Abouarabi

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1831883446
  Medicare reassignment NPD
• Fares N Mubarez, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Warren, MI
  • NPI 1831753466
  Medicare reassignment NPD
• Corie Peterson, NP

  • Family Nurse Practitioner
  • Grosse Pointe, MI
  • NPI 1104352582
  Medicare reassignment NPD
• Brian Benenati

  • General Practice Physician
  • Canton, MI
  • NPI 1750065033
  Medicare reassignment
• Douglas Anthony Cutcher, DPM

  • Foot Surgery Podiatrist
  • Redford, MI
  • NPI 1780763714
  NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1104542828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 WATERLAND DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673500",
            "telephone_number": "313-207-2460",
            "fax_number": "313-337-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-455-8310",
            "fax_number": "313-337-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIME CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "313-207-2460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Moustafa El-Fakharany, M.D.
• Bouchra El-Zaatari
• Deanne Abed Elder, PA-C
• Elegant Home Health Care LLC
• Elite Medical Supplies
• Amaya Skyye Elliott
• Julie Kristin Elliott, M.A. CCC-SLP
• Natasha Antoinette Ellis, CPSS, CRC
• Hussein Hans Elmasri, PHARMD
• Nour Elsheick, PHARMD

• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.