Organization Active NPI

Complex Care MD PC

  • Internal Medicine Physician
  • Flushing, MI
National Provider Identifier
1568028801
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPLEX CARE MD PC
Practice address
6045 W Pierson Rd
Flushing, MI 48433-2389
Phone
(810) 235-1331
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Diana El Masri
Title
Billing Manager
Phone
(248) 215-0048

Specialties & licenses 1

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

Addresses

Primary practice location

6045 W Pierson Rd
Flushing, MI 48433-2389

Mailing address

30700 Telegraph Rd
Bingham Farms, MI 48025-4524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diana@embpm.com Direct

National Provider Directory

National Provider Directory

Locations

30700 Telegraph Rd
Bingham Farms, MI 48025
Phone (248) 480-4440

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1568028801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332389",
            "telephone_number": "810-235-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX CARE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "EL MASRI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-215-0048"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana@embpm.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6045 W Pierson Rd",
            "city": "Flushing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484332389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.