NPIMap

Organization Active NPI

CH MSSP Services Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1609569169
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CH MSSP SERVICES MI PLLC
Practice address
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone
(337) 408-0797
NPI assigned
May 31, 2023
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Nicole Howard
Title
Sr VP of Administrative Services
Phone
(337) 408-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724002653 MI Part B Supplier - Clinic/Group Practice 2961862800 Receives reassigned benefits from 78 practitioners
Practice locations: Hudsonville, MI; Lansing, MI; Lowell, MI; Midland, MI; Okemos, MI; Plymouth, MI; Portage, MI; Saginaw, MI…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1200 Ely St
Allegan, MI 49010
Phone (269) 673-1500

3432 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-9600

39312 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 644-5522

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

21401 Greater Mack Ave
Saint Clair Shores, MI 48080
Phone (586) 778-0800

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1609569169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE CTR STE 2600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431599",
            "telephone_number": "337-408-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH MSSP SERVICES MI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.