NPIMap

Organization Active NPI

Metabola PLLC

Doing business as Obesity Medicine & Metabolic Wellness Center

  • Clinic/Center
  • Midland, MI
National Provider Identifier
1366180671
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
METABOLA PLLC
Doing business as
Obesity Medicine & Metabolic Wellness Center
Practice address
901 E Indian St
Midland, MI 48640-5397
Phone
(989) 423-0645
NPI assigned
May 25, 2022
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Jacob Gorelishvili
Title
Ceo
Phone
(248) 423-0645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

901 E Indian St
Midland, MI 48640-5397

Mailing address

901 E Indian St
Midland, MI 48640-5233
Phone (989) 423-0645

Other names 1

  • Obesity Medicine & Metabolic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627000191 MI Part B Supplier - Clinic/Group Practice 6002295722 Receives reassigned benefits from 8 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

901 E Indian St
Midland, MI 48640
Phone (989) 832-8803

Practitioners & affiliated clinicians

Practitioners 8

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": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1366180671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E INDIAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405233",
            "telephone_number": "989-423-0645",
            "fax_number": "989-488-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E INDIAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405397",
            "telephone_number": "989-423-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "GORELISHVILI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-423-0645"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obesity Medicine & Metabolic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

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