Active NPI
Lifeline Medical Group PC
- Cardiovascular Disease Physician
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- LIFELINE MEDICAL GROUP PC
- Practice address
- 3901 Highland Rd Ste G
Waterford, MI 48328-2162 - Phone
- (248) 321-3121
- Fax
- (248) 692-0333
- NPI assigned
- Jul 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Navneet Kumar, MD
- Title
- Authorized Officer
- Phone
- (248) 321-3121
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
3901 Highland Rd Ste G
Waterford, MI 48328-2162
Mailing address
3901 Highland Rd Ste G
Waterford, MI 48328-2162
Phone (248) 321-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301096048 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2336465 | Lifeline Medical Group, PC | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
3901 Highland Rd
Ste G
Waterford, MI 48328
Phone (248) 321-3121
3901 Highland Rd
Ste A
Waterford, MI 48328
Phone (248) 321-3121
Practitioners & affiliated clinicians
Practitioners 1
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": "1753401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1316829674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 HIGHLAND RD STE G",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282162",
"telephone_number": "248-321-3121",
"fax_number": "248-692-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HIGHLAND RD STE G",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282162",
"telephone_number": "248-321-3121",
"fax_number": "248-692-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-25",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "NAVNEET",
"authorized_official_title_or_position": "AUTHORIZED OFFICER",
"authorized_official_telephone_number": "248-321-3121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301096048",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.