Organization Active NPI

Michigan Lung Care PLC

  • Pulmonary Disease Physician
  • Troy, MI
National Provider Identifier
1235982885
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MICHIGAN LUNG CARE PLC
Practice address
1950 E Wattles Rd Ste 101
Troy, MI 48085-5099
Phone
(248) 238-8374
Fax
(248) 243-8966
NPI assigned
Apr 11, 2024
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mihai Iliesiu, MDNPI 1467682443
Title
Owner
Phone
(586) 306-4041

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
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1950 E Wattles Rd Ste 101
Troy, MI 48085-5099

Mailing address

1950 E Wattles Rd Ste 101
Troy, MI 48085-5099
Phone (248) 238-8374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522002700 MI Part B Supplier - Clinic/Group Practice 6709228729 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester Hills, MI; Warren, MI; Troy, MI; Roseville, 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, 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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1235982885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-238-8374",
            "fax_number": "248-243-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-238-8374",
            "fax_number": "248-243-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN LUNG CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ILIESIU",
        "authorized_official_first_name": "MIHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-306-4041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.