Active NPI
Detroit Integrated Care
- Addiction Medicine (Family Medicine) Physician
- Southfield, MI
National Provider Identifier
1104706175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- DETROIT INTEGRATED CARE
- Practice address
- 29532 Southfield Rd Ste 115
Southfield, MI 48076-2023 - Phone
- (313) 284-2858
- NPI assigned
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Skuras, DNP, APRN, AGCNS-BC
- Title
- Director
- Phone
- (586) 556-7670
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Mailing address
2940 Crooks Rd
Royal Oak, MI 48073-3278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Clinical Nurse Specialist
- Southfield, MI
- NPI 1154003119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1104706175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 CROOKS RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29532 SOUTHFIELD RD STE 115",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762023",
"telephone_number": "313-284-2858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT INTEGRATED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-02",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "SKURAS",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "586-556-7670",
"authorized_official_credential": "DNP, APRN, AGCNS-BC"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Detroit Counseling and Wellness Solutions
- Detroit Eye Care
- Detroit Eye Care
- Detroit Harmony Health LLC
- Detroit Institute of Physical Medicine & Rehabilitation, PC
- Detroit Medical Care PC
- Detroit Medical Equipment Inc
- Detroit Orthopedics & Sports Medicine PLC
- Detroit Vamc
- Detroit Wayne County Health Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.