Organization Active NPI

Skywalk Internal Medicine, PC

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1538437066
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074521 Issued in MI
Legal business name
SKYWALK INTERNAL MEDICINE, PC
Practice address
43200 Dequindre Rd Ste 106
Sterling Heights, MI 48314-1707
Phone
(586) 997-1230
Fax
(586) 991-5467
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Nadheer Issa, MDNPI 1568444677
Title
Owner
Phone
(586) 997-1230

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301074521 MI Primary

Addresses

Primary practice location

43200 Dequindre Rd Ste 106
Sterling Heights, MI 48314-1707

Mailing address

43200 Dequindre Rd Ste 106
Sterling Heights, MI 48314-1707
Phone (586) 997-1230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120601000536 MI Part B Supplier - Clinic/Group Practice 0143484154 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, 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
23D2038131Skywalk Internal Medicine PC43200 Dequindre Road Suite 106, Sterling Heights, MI 48314Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

44344 Dequindre Rd
Ste 540
Sterling Heights, MI 48314
Phone (586) 997-1230

43200 Dequindre Rd
Ste 106
Sterling Hts, MI 48314
Phone (586) 997-1230

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1538437066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD STE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-997-1230",
            "fax_number": "586-991-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD STE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-997-1230",
            "fax_number": "586-991-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWALK INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "NADHEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-997-1230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074521",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 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.