NPIMap

Organization Active NPI

Coremed Consultants of Michigan PLLC

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1265322291
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COREMED CONSULTANTS OF MICHIGAN PLLC
Practice address
13251 E 10 Mile Rd
Warren, MI 48089-2050
Phone
(586) 742-9200
NPI assigned
Jul 9, 2025
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Kelly MoyerNPI 1619394004
Title
Credentialing Coordinator
Phone
(734) 403-4599

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

13251 E 10 Mile Rd
Warren, MI 48089-2050

Mailing address

32780 Grand River Ave Ste 210a
Farmington Hills, MI 48336-3189

Other practice location 1

3512 Coolidge Rd Unit A
East Lansing, MI 48823-6376
Phone (517) 318-5907

Other practice location 2

6245 Inster Rd Fl 3
Garden City, MI 48135
Phone (517) 318-5907

Other practice location 3

9500 Grand River Ave
Detroit, MI 48204-2132
Phone (313) 491-7920

Other practice location 4

50 N Perry St Fl 1
Pontiac, MI 48342-2217
Phone (248) 221-5300

Other practice location 5

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Other practice location 6

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

Other practice location 7

11525 E 10 Mile Rd
Warren, MI 48089-3802
Phone (586) 759-0700

Other practice location 8

6470 Alden Dr
West Bloomfield, MI 48324-2006
Phone (248) 387-4700

Other practice location 9

7733 E Jefferson Ave # 200
Detroit, MI 48214-3707
Phone (313) 432-1200

Other practice location 10

18200 W 13 Mile Rd
Beverly Hills, MI 48025-5446
Phone (248) 647-6500

Other practice location 11

9146 Woodward Ave
Detroit, MI 48202-1612
Phone (313) 875-1263

Other practice location 12

2900 Collins Rd Ste 6
Lansing, MI 48910-8394
Phone (517) 318-5907

Other practice location 13

535 N Main St
Clawson, MI 48017-1526
Phone (248) 435-5200

Other practice location 14

17001 17 Mile Rd
Clinton Township, MI 48038-2801
Phone (586) 286-7100

Other practice location 15

1881 E Grand Blvd
Detroit, MI 48211-3041
Phone (313) 922-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904000435 MI Part B Supplier - Clinic/Group Practice 4789186396 Receives reassigned benefits from 7 practitioners
Practice locations: East Lansing, MI; Lansing, MI; Warren, MI

National Provider Directory

National Provider Directory

Locations

3512 Coolidge Rd
Unit A
East Lansing, MI 48823
Phone (517) 318-5889

2900 Collins Rd
Unit B
Lansing, MI 48910
Phone (517) 975-7500

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1265322291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32780 GRAND RIVER AVE STE 210A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892050",
            "telephone_number": "586-742-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Coolidge Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236376",
            "country_code": "US",
            "telephone_number": "517-318-5907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6245 Inster Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "48135",
            "country_code": "US",
            "telephone_number": "517-318-5907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482042132",
            "country_code": "US",
            "telephone_number": "313-491-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 N Perry St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "248-221-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47601 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741233",
            "country_code": "US",
            "telephone_number": "248-465-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11525 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480893802",
            "country_code": "US",
            "telephone_number": "586-759-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6470 Alden Dr",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483242006",
            "country_code": "US",
            "telephone_number": "248-387-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7733 E Jefferson Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143707",
            "country_code": "US",
            "telephone_number": "313-432-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18200 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255446",
            "country_code": "US",
            "telephone_number": "248-647-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9146 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482021612",
            "country_code": "US",
            "telephone_number": "313-875-1263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Collins Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108394",
            "country_code": "US",
            "telephone_number": "517-318-5907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 N Main St",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171526",
            "country_code": "US",
            "telephone_number": "248-435-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17001 17 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480382801",
            "country_code": "US",
            "telephone_number": "586-286-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 E Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482113041",
            "country_code": "US",
            "telephone_number": "313-922-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COREMED CONSULTANTS OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "734-403-4599"
    },
    "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 Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.