Organization Active NPI

Comprehensive Primary Care Physicians PLLC

  • Internal Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1174352728
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE PRIMARY CARE PHYSICIANS PLLC
Practice address
31500 Telegraph Rd Ste 115
Bingham Farms, MI 48025-4302
Phone
(248) 621-9200
Fax
(248) 621-9222
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Oluwasayo AkinyosoyeNPI 1588191761
Title
President
Phone
(317) 366-5165

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

Addresses

Primary practice location

31500 Telegraph Rd Ste 115
Bingham Farms, MI 48025-4302

Mailing address

31500 Telegraph Rd Ste 115
Bingham Farms, MI 48025-4302
Phone (248) 621-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240909001373 MI Part B Supplier - Clinic/Group Practice 0244770998 Receives reassigned benefits from 3 practitioners
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1174352728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 115",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254302",
            "telephone_number": "248-621-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 115",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254302",
            "telephone_number": "248-621-9200",
            "fax_number": "248-621-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PRIMARY CARE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "AKINYOSOYE",
        "authorized_official_first_name": "OLUWASAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-366-5165"
    },
    "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 Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.

Verify at the official NPI Registry.