Organization Active NPI

Wayne Primary Care

  • Family Medicine Physician
  • Wayne, MI
National Provider Identifier
1609272947
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNE PRIMARY CARE
Practice address
4020 Venoy Rd Ste 400
Wayne, MI 48184-1891
Phone
(734) 519-5200
Fax
(734) 519-5201
NPI assigned
Nov 14, 2014
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Vijay Patel, M.D.NPI 1275678948
Title
Physician/Owner
Phone
(248) 561-8371

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4020 Venoy Rd Ste 400
Wayne, MI 48184-1891

Mailing address

4020 Venoy Rd Ste 400
Wayne, MI 48184-1891
Phone (734) 519-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150203002036 MI Part B Supplier - Clinic/Group Practice 1850616335 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, 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
23D0368776Wayne Primary Care4020 Venoy Road, Suite 400, Wayne, MI 48184Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

2901 S Newburgh Rd
Wayne, MI 48184
Phone (313) 729-7220

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1609272947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 400",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841891",
            "telephone_number": "734-519-5200",
            "fax_number": "734-519-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 400",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841891",
            "telephone_number": "734-519-5200",
            "fax_number": "734-519-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-561-8371",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.