Active NPI
Chelsea Professional Services
- Internal Medicine Physician
- Dexter, MI
National Provider Identifier
1124198551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301059747
- Legal business name
- CHELSEA PROFESSIONAL SERVICES
- Practice address
- 8031 Main Street
Suite 203
Dexter, MI 48130 - Phone
- (734) 475-4073
- NPI assigned
- Nov 9, 2006
- Last updated
- Mar 11, 2026
- 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
- Michael P Gusho
- Title
- Cfo
- Phone
- (231) 672-3886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301059747 | MI | Primary |
Addresses
Primary practice location
8031 Main Street
Suite 203
Dexter, MI 48130
Mailing address
8031 Main Street
Suite 203
Dexter, MI 48130
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040119000004 | MI | Part B Supplier - Clinic/Group Practice | 0648171074 |
Receives reassigned benefits from 179 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chelsea, MI |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St. Joseph Mercy Chelsea
- Psychiatry Physician
- Chelsea, MI
- NPI 1912947409
O20040119000004
-
- Orthopaedic Surgery Physician
- Chelsea, MI
- NPI 1235278714
O20040119000004
-
dba IHA General Surgery
- Surgery Physician
- Ypsilanti, MI
- NPI 1255470233
O20040119000004
-
dba Chelsea Hospital
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
O20040119000004
National Provider Directory
National Provider DirectoryLocations
8031 Main St
Ste 203
Dexter, MI 48130
Phone (734) 426-8696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1124198551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8031 MAIN STREET",
"address_2": "SUITE 203",
"city": "DEXTER",
"state": "MI",
"postal_code": "48130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8031 MAIN STREET",
"address_2": "SUITE 203",
"city": "DEXTER",
"state": "MI",
"postal_code": "48130",
"telephone_number": "734-475-4073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA PROFESSIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "GUSHO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "231-672-3886"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301059747",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.