Organization Active NPI

Platinum Primary Care, PLLC

  • Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1124973052
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PLATINUM PRIMARY CARE, PLLC
Practice address
23420 Ford Rd Ste 100
Dearborn Heights, MI 48127-2396
Phone
(313) 203-5310
Fax
(313) 914-2529
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Eric Alzaroui
Title
C.O.O.
Phone
(313) 203-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

23420 Ford Rd Ste 100
Dearborn Heights, MI 48127-2396

Mailing address

23420 Ford Rd Ste 100
Dearborn Heights, MI 48127-2396
Phone (313) 203-5310

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
23D2341470Platinum Primary Care, PLLC23420 Ford Road Suite 100, Dearborn Heights, MI 48127Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

23420 Ford Rd
Ste 100
Dearborn Heights, MI 48127
Phone (313) 203-5310

Practitioners & affiliated clinicians

Practitioners 1

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": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1124973052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23420 FORD RD STE 100",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272396",
            "telephone_number": "313-203-5310",
            "fax_number": "313-914-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23420 FORD RD STE 100",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272396",
            "telephone_number": "313-203-5310",
            "fax_number": "313-914-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "ALZAROUI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "313-203-5300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.