Active NPI
Skywalk Internal Medicine, PC
- Internal Medicine Physician
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301074521
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadheer Issa, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2038131 | Skywalk Internal Medicine PC | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Sterling Heights, MI
- NPI 1568444677
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.