Innovation Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INNOVATION MEDICINE, PLLC

Practice address

25710 Kelly Rd
Ste 3
Roseville, MI 48066-4959

Phone

(586) 772-2600

NPI assigned

Apr 10, 2017

Last updated

Dec 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Basem Almasri, M.D.NPI 1326040510

Title

Physician

Phone

(586) 772-2600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 44

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.

• Basem Almasri, M.D.

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1326040510
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron N Achatz, FNP-C

  • Acute Care Nurse Practitioner
  • Roseville, MI
  • NPI 1194580191
  Medicare reassignment Care Compare group NPD
• Susanne Garay, FNP

  • Family Nurse Practitioner
  • Southfield, MI
  • NPI 1952867905
  Medicare reassignment Care Compare group NPD
• Osama N Nunu, MD

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1831191170
  Medicare reassignment Care Compare group NPD
• Rudy Jerome Vervaeke, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Saint Clair Shores, MI
  • NPI 1922108927
  Medicare reassignment Care Compare group NPD
• Bryce Allen Bowers, DO

  • Family Medicine Physician
  • Camp Pendleton, CA
  • NPI 1689233470

  MI

  Medicare reassignment Care Compare group NPD
• Joseph Philip Aluia, PA

  • Physician Assistant
  • Roseville, MI
  • NPI 1043970940
  Medicare reassignment Care Compare group
• Borivoje Trifunovic, MD

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1730167644
  Medicare reassignment NPD
• Ryan Holmes

  • Internal Medicine Physician
  • Hillsdale, MI
  • NPI 1225541014
  Medicare reassignment
• Amelia Mancini

  • Physician Assistant
  • Rochester Hills, MI
  • NPI 1447848304
  Medicare reassignment
• Sean O'Brien, PA-C

  • Physician Assistant
  • Detroit, MI
  • NPI 1508521105
  Medicare reassignment
• Abdulilah Obeid, PA-C

  • Physician Assistant
  • Warren, MI
  • NPI 1053716811
  Medicare reassignment

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1720511405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25710 KELLY RD",
            "address_2": "STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25710 KELLY RD",
            "address_2": "STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664959",
            "telephone_number": "586-772-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "ALMASRI",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-772-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.