Active NPI
Trinity Medical Center, P.C.
- Internal Medicine Physician
- Sterling Heights, MI
National Provider Identifier
1730193657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301070663
- Legal business name
- TRINITY MEDICAL CENTER, P.C.
- Practice address
- 37300 Dequindre Rd
Suite 120
Sterling Heights, MI 48310-3591 - Phone
- (586) 275-0065
- Fax
- (586) 275-0066
- NPI assigned
- Jul 28, 2006
- Last updated
- Jan 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Victor Petros Al-Matchy, M.D.
- Title
- Owner President
- Phone
- (586) 275-0065
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301070663 | MI | Primary |
Addresses
Primary practice location
37300 Dequindre Rd
Suite 120
Sterling Heights, MI 48310-3591
Mailing address
37300 Dequindre Rd
Ste 120
Sterling Heights, MI 48310-3591
Phone (586) 275-0065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700E027480 | Other | MI | BCBS |
| 4301070663 | Other | MI | STATE LICENSE |
| 4889519 10 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Sterling Heights, MI
- NPI 1609811975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1730193657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37300 DEQUINDRE RD",
"address_2": "STE 120",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103591",
"telephone_number": "586-275-0065",
"fax_number": "586-275-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37300 DEQUINDRE RD",
"address_2": "SUITE 120",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103591",
"telephone_number": "586-275-0065",
"fax_number": "586-275-0066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MEDICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "AL-MATCHY",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "PETROS",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "586-275-0065",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301070663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "700E027480",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301070663",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4889519 10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
- Mackenzie Tresnak, PSYD, LP
- Sheila Trever, PHARMD
- Tri-County Medical Clinic, P.C.
- Tri-County Therapy Center, LLC Dba Valley Hill Therapy Center
- Tri-County Transportation LLC
- Trinity Services, LLC
- Trinity Transport LLC
- Trinity Visiting Physicians PC
- Triple J's New Beginnings Inc.
- David Trombly, MA, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.