Premier Medicine PC
Organization Active NPI Internal Medicine Physician · Livonia, MI
NPI 1376623736 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1376623736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PREMIER MEDICINE PC
- Practice address
- 20280 Middlebelt Rd
Livonia, MI 48152-2002 - Phone
- (248) 987-1270
- Fax
- (248) 987-1271
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Nabil Suliman, MD
- Title
- MD
- Phone
- (248) 987-1250
Practitioners 33
-
Ali Algabri, PA-C
-
Shahid M Ansari, MD
-
Somnath Chowdhury, M.D.
-
Lisa Levone Jones, FNP
-
Shahzad S Qureshi, DPM
-
Nabil Suliman, MD
-
Mireille Touma, NURSE PRACTITIONER
-
Hajerah Arif, PA-C
-
MD Abdur Rahman, FNP
-
Ahmad M Ahmad, MD
-
Hussein Azzam, MD
-
Christie Y Miller, FNP
-
Hassan M Nasir, D.O.
-
Honorine Ngeseh Njita, DNP, FNP-BC
-
Jasjit Kaur Pataria, NP-C
-
Abhinav Raina, M.D.
-
Michelle M. White, DPT
-
Sablaa Ali, D.O.
-
Bethany Suzanne Brooks, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040716000223 | MI | Part B Supplier - Clinic/Group Practice | 3971582685 |
Receives reassigned benefits from 30 practitioners Practice locations: Dearborn, MI; Hamtramck, MI; Livonia, MI |
National Provider Directory
Locations
8044 W Vernor Hwy
Detroit, MI 48209
Phone (313) 551-2755
20280 Middlebelt Rd
#500
Livonia, MI 48152
20290 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250
20290 Middlebelt Rd
#500
Livonia, MI 48152
20290 Middlebelt Rd
#100
Livonia, MI 48152
20290 Middlebelt Rd
Ste 100
Livonia, MI 48152
Phone (248) 987-1250
20280 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250
Interoperability endpoints
- https://api.platform.athenahealth.com/16805/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X |
Addresses
Primary practice location
20280 Middlebelt Rd
Livonia, MI 48152-2002
Mailing address
20280 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0M39830 | Other | MI | PTAN |
Other providers in Livonia, MI
- Erica Preblich
- Precise Builders LLC
- Preferred Choice Home Health Care Services, LLC
- Preferred Dental Group
- Premier Behavioral Medicine, PLLC
- Premier RX LLC
- Premier Urgent Care of Livonia PC
- Premiercare Home Health Solutions, Inc.
- Christina Renee Premo
- Victoria Preslow
All providers in Livonia, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.