Organization Active NPI

Arthritis and Internal Medicine, P.C.

  • Medical Specialty Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1477856763
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301057075 Issued in MI
Legal business name
ARTHRITIS AND INTERNAL MEDICINE, P.C.
Practice address
37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310
Phone
(586) 275-0461
Fax
(586) 275-0462
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Berj Movsess Nercessian, M.D.NPI 1093705329
Title
President
Phone
(586) 275-0461

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
Medical Specialty Clinic/Center 261QM2500X 4301057075 MI Primary

Addresses

Primary practice location

37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310

Mailing address

37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310
Phone (586) 275-0461

Other identifiers 1

IdentifierTypeStateIssuer
1106376811OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110207000474 MI Part B Supplier - Clinic/Group Practice 1850571936 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

26657 Woodward Ave
Ste 202
Huntington Woods, MI 48070
Phone (248) 548-2114

37300 Dequindre Rd
Ste 138
Sterling Hts, MI 48310
Phone (586) 275-0461

Practitioners & affiliated clinicians

Practitioners 1

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": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1477856763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD.",
            "address_2": "STE 138",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-275-0461",
            "fax_number": "586-275-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD.",
            "address_2": "STE 138",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-275-0461",
            "fax_number": "586-275-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS AND INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NERCESSIAN",
        "authorized_official_first_name": "BERJ",
        "authorized_official_middle_name": "MOVSESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-275-0461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301057075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1106376811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.