Organization Active NPI

Sita Medical Clinic

  • Internal Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1285614776
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME063139 Issued in MI
Legal business name
SITA MEDICAL CLINIC
Practice address
995 Ford Ave
Wyandotte, MI 48192-3861
Phone
(734) 284-3100
Fax
(734) 284-8212
NPI assigned
Jan 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Vinod K Mohey, M.D.NPI 1205816873
Title
President
Phone
(734) 284-3100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X VM046803 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X DD032902 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME063139 MI Primary

Addresses

Primary practice location

995 Ford Ave
Wyandotte, MI 48192-3861

Mailing address

29900 Forest Dr
Franklin, MI 48025-1569
Phone (248) 865-9137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000492 MI Part B Supplier - Clinic/Group Practice 6507882826 Receives reassigned benefits from 6 practitioners
Practice locations: Wyandotte, MI

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
23D0711845Sita Medical Clinic995 Ford Ave, Wyandotte, MI 48192Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

995 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJGBD

Practitioners & affiliated clinicians

Practitioners 6

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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285614776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 FOREST DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251569",
            "telephone_number": "248-865-9137",
            "fax_number": "248-865-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923861",
            "telephone_number": "734-284-3100",
            "fax_number": "734-284-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOHEY",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-284-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "VM046803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "DD032902",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "ME063139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.