Organization Active NPI

Elite Woundcare Associates PLLC

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1760285159
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE WOUNDCARE ASSOCIATES PLLC
Practice address
100 Renaissance Ctr Ste 10140245
Detroit, MI 48243-1114
Phone
(517) 402-9590
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Tony Abood, DONPI 1194165829
Title
DO/Owner
Phone
(517) 402-9590

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 Renaissance Ctr Ste 10140245
Detroit, MI 48243-1114

Mailing address

100 Renaissance Ctr Ste 10140245
Detroit, MI 48243-1114
Phone (517) 402-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318000135 MI Part B Supplier - Clinic/Group Practice 7113401282 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

100 Renaissance Ctr
Ste 10140245
Detroit, MI 48243
Phone (248) 967-1888

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1760285159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RENAISSANCE CTR STE 10140245",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431114",
            "telephone_number": "517-402-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RENAISSANCE CTR STE 10140245",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431114",
            "telephone_number": "517-402-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUNDCARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "ABOOD",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "517-402-9590",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.