Organization Active NPI

Internal Medicine Specialties PC

  • Internal Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1457583692
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE SPECIALTIES PC
Practice address
21409 Kelly Rd Ste 400
Eastpointe, MI 48021-3264
Phone
(586) 777-0630
Fax
(586) 777-0631
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Malaz Alatassi, MD
Title
Manager
Phone
(248) 953-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MI Primary

Addresses

Primary practice location

21409 Kelly Rd Ste 400
Eastpointe, MI 48021-3264

Mailing address

21409 Kelly Rd Ste 400
Eastpointe, MI 48021-3264
Phone (586) 777-0630

Other identifiers 5

IdentifierTypeStateIssuer
1841571544OtherMIDR SUNBULI NPI
1105004461OtherMIBCBSM
1265559488OtherMIDR M HAMMOUDE NPI
1457583692OtherMIGROUP NPI
1457583692MedicaidMI

National Provider Directory

National Provider Directory

Locations

21409 Kelly Rd
Ste 400
Eastpointe, MI 48021
Phone (586) 585-9261

Practitioners & affiliated clinicians

Practitioners 5

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": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1457583692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21409 KELLY RD STE 400",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213264",
            "telephone_number": "586-777-0630",
            "fax_number": "586-777-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21409 KELLY RD STE 400",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213264",
            "telephone_number": "586-777-0630",
            "fax_number": "586-777-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALTIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ALATASSI",
        "authorized_official_first_name": "MALAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-953-0526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SUNBULI NPI",
            "identifier": "1841571544",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1105004461",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR M HAMMOUDE NPI",
            "identifier": "1265559488",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457583692",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457583692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.