Gilbert Neurological Assoc PLLC – Neurology Physician

Key facts

NPI: 1376625533
Entity type: Organization (NPI type 2)
Primary specialty: Neurology Physician 2084N0400X
License: 4301072532 (MI)
Legal business name: GILBERT NEUROLOGICAL ASSOC PLLC
Practice address: 18535 W 12 Mile Rd
Suite a
Lathrup Village, MI 48076-2676
Phone: (248) 552-3734
Fax: (248) 552-3736
NPI assigned: Oct 19, 2006
Organization subpart: No

Authorized official

Name: Dr. Neil Gilbert, MD NPI 1053371658
Title: President
Phone: (248) 552-3734

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Neil Gilbert, M.D. Neurology Physician · Lathrup Village, MI · NPI 1053371658

Medicare reassignment Care Compare group NPD Authorized official MI · NEUROLOGY
Celina Accetta, FNP Family Nurse Practitioner · Shelby TWP, MI · NPI 1376438598

Medicare reassignment Care Compare group NPD MI
Christina Akaraz Adult Health Nurse Practitioner · Southfield, MI · NPI 1710547823

Medicare reassignment NPD MI
Jordan Taylor Alvarado, FNP-BC Family Nurse Practitioner · Lathrup Village, MI · NPI 1568136950

Medicare reassignment NPD MI
Kendra Nicole Mancini, AGACNP-BC Acute Care Nurse Practitioner · Detroit, MI · NPI 1538655113

Medicare reassignment NPD MI
Merryl Nambiathusseril, FNP Family Nurse Practitioner · Rochester, MI · NPI 1861078669

Medicare reassignment NPD MI
Manit Pahuja, FNP-C Family Nurse Practitioner · Fraser, MI · NPI 1124768361

Medicare reassignment NPD MI
Adhraa Alsana Family Nurse Practitioner · Roseville, MI · NPI 1801749874

Medicare reassignment MI
Namir David Zukkoor, MD Internal Medicine Physician · Farmington Hills, MI · NPI 1619068582

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20080129000466	MI	Part B Supplier - Clinic/Group Practice	0244312387	Receives reassigned benefits from 8 practitioners Practice locations: Lathrup Village, MI

National Provider Directory

Locations

18535 W 12 Mile Rd
Ste A
Lathrup Village, MI 48076
Phone (248) 552-3734

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Neurology Physician Group: 193400000X SINGLE SPECIALTY GROUP	2084N0400X	4301072532	MI	Yes

Addresses

Primary practice location

18535 W 12 Mile Rd
Suite a
Lathrup Village, MI 48076-2676

Mailing address

18535 W 12 Mile Rd
Suite a
Lathrup Village, MI 48076-2676
Phone (248) 552-3734

Other identifiers

Identifier	Type	State	Issuer
1106303932	Other	MI	BCBS
1106303932	Other	MI	BLUE CARE NETWORK
130F338870	Other	MI	BC/BS
12440	Other	MI	CAPE HEALTH PLAN
4717514	Medicaid	MI
H89219	Other	MI	HAP
130F338870	Other	MI	BCN
146353	Other	MI	GREAT LAKES HEALTH PLAN

Other names

American Institute of Neurological Disorders Doing business as

Other providers in Lathrup Village, MI

All providers in Lathrup Village, MI · Neurology 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 Jan 21, 2021. 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.

Verify at the official NPI Registry.