Organization Active NPI

Clarkston Internal Medicine, P.C.

  • Internal Medicine Physician
  • Clarkston, MI
National Provider Identifier
1417085085
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301050183 Issued in MI
Legal business name
CLARKSTON INTERNAL MEDICINE, P.C.
Practice address
7188 N Main St
Clarkston, MI 48346-1571
Phone
(248) 625-1600
Fax
(248) 625-0239
NPI assigned
Mar 2, 2007
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Dr. Bashar OkkaNPI 1942210299
Title
Owner
Phone
(248) 625-1600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301050183 MI Primary

Addresses

Primary practice location

7188 N Main St
Clarkston, MI 48346-1571

Mailing address

7188 N Main St
Clarkston, MI 48346-1571
Phone (248) 625-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000694 MI Part B Supplier - Clinic/Group Practice 2860417995 Receives reassigned benefits from 8 practitioners
Practice locations: Clarkston, MI; Pontiac, MI; Troy, 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
23D0857024Clarkston Internal Medicine PC7188 N Main Street, Clarkston, MI 48346Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099

6770 Dixie Hwy
Ste 103
Clarkston, MI 48346
Phone (248) 625-5550

7210 N Main St
Ste 200
Clarkston, MI 48346
Phone (248) 221-2008

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1417085085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7188 N MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461571",
            "telephone_number": "248-625-1600",
            "fax_number": "248-625-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7188 N MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461571",
            "telephone_number": "248-625-1600",
            "fax_number": "248-625-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTON INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "OKKA",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-625-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.