Elite Family Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301083265 Issued in MI

Legal business name

ELITE FAMILY MEDICINE PLLC

Practice address

33200 Dequindre Rd
Suit 200
Sterling Heights, MI 48310-5967

Phone

(586) 977-0200

Fax

(586) 977-0000

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Fawaz HassoNPI 1972647196

Title

Medical Director

Phone

(248) 259-1183

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fawaz M Hasso, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1972647196
  Medicare reassignment Care Compare group NPD Authorized official
• Maha Hasso, MD

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1043426695
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1699164699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HAMLET DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD",
            "address_2": "SUIT 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-977-0200",
            "fax_number": "586-977-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "HASSO",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-259-1183"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301083265",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301088431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolly Gallego Elaco, PT
• Christina Elder
• Noha Elghoroury, PT
• Carmen Elias, LMSW
• Elite Chiropractic, P.C.
• Elite Health Centers, Inc.
• Elite Health Physical Therapy LLC
• Elite Internal Medicine, PC
• Elite Long Term Care PLLC
• Elite Rehabilitation, Inc.

• Primary Care Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.