Individual provider Active NPI

Machlah B Lopian, PA

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1659515872
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006087 Issued in MI
Practice address
17000 W 10 Mile Rd FL 2
Southfield, MI 48075-2923
Phone
(734) 855-5371
Fax
(248) 436-4109
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006087 MI Primary

Addresses

Primary practice location

17000 W 10 Mile Rd FL 2
Southfield, MI 48075-2923

Mailing address

25640 Southwood Dr
Southfield, MI 48075-2030
Phone (734) 855-5371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000690 MI Practitioner - Physician Assistant 6103976477 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Health DPC PLLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

17000 W 10 Mile Rd
Fl 2
Southfield, MI 48075

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1659515872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25640 SOUTHWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752030",
            "telephone_number": "734-855-5371",
            "fax_number": "248-436-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 W 10 MILE RD FL 2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752923",
            "telephone_number": "734-855-5371",
            "fax_number": "248-436-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPIAN",
        "first_name": "MACHLAH",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.