Active NPI
365 Health Care Group PLC
- Surgery Physician
- Troy, MI
National Provider Identifier
1750855086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- 365 HEALTH CARE GROUP PLC
- Practice address
- 100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283 - Phone
- (888) 402-0202
- Fax
- (888) 860-2960
- NPI assigned
- Jan 21, 2019
- Last updated
- Sep 21, 2026
- 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
- Kimberly Miller
- Title
- Director of RCM
- Phone
- (248) 331-7908
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Surgery Physician | 208600000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Mailing address
PO Box 5663
Carol Stream, IL 60197-5663
Phone (888) 402-0202
Other practice location 1
22711 Grand River Ave
Detroit, MI 48219-3113
Phone (888) 402-0202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22711 Grand River Ave
Detroit, MI 48219
Phone (313) 221-9189
22711 Grand River Ave
Ste 2000
Detroit, MI 48219
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Dearborn, MI
- NPI 1467914721
Practitioners & affiliated clinicians
Practitioners 22
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.
-
- Family Nurse Practitioner
- Port Huron, MI
- NPI 1518671239
-
- Family Medicine Physician
- Clawson, MI
- NPI 1306368527
-
- Surgery Physician
- Romulus, MI
- NPI 1831205517
-
- Family Medicine Physician
- Detroit, MI
- NPI 1508429960
-
- Internal Medicine Physician
- Lathrup Village, MI
- NPI 1366421273
-
- Family Nurse Practitioner
- Auburn Hills, MI
- NPI 1730764770
-
- Family Nurse Practitioner
- Wyandotte, MI
- NPI 1114471208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1750855086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5663",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601975663",
"telephone_number": "888-402-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845283",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960"
}
],
"practiceLocations": [
{
"address_1": "22711 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482193113",
"country_code": "US",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "365 HEALTH CARE GROUP PLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-331-7908"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.