Active NPI
Internal Medicine Specialties PC
- Internal Medicine Physician
- Eastpointe, MI
National Provider Identifier
1457583692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841571544 | Other | MI | DR SUNBULI NPI |
| 1105004461 | Other | MI | BCBSM |
| 1265559488 | Other | MI | DR M HAMMOUDE NPI |
| 1457583692 | Other | MI | GROUP NPI |
| 1457583692 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Detroit, MI
- NPI 1922045921
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1679575328
-
- Internal Medicine Physician
- Saint Clair Shores, MI
- NPI 1255407631
-
- Nephrology Physician
- Saint Clair Shores, MI
- NPI 1720298136
Internal Medicine
-
- General Practice Physician
- Roseville, MI
- NPI 1841571544
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.