Organization Active NPI

Five Lakes Medical Group PLLC

  • Family Medicine Physician
  • Hamtramck, MI
National Provider Identifier
1770409849
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIVE LAKES MEDICAL GROUP PLLC
Practice address
11333 Joseph Campau St
Hamtramck, MI 48212-3038
Phone
(313) 463-0653
NPI assigned
Jun 24, 2026
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Dr. Ramzy Naji Aiyash, MDNPI 1740036292
Title
Physician
Phone
(313) 463-0653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11333 Joseph Campau St
Hamtramck, MI 48212-3038

Mailing address

800 Indianwood Rd
Lake Orion, MI 48362-1320
Phone (313) 463-0653

National Provider Directory

National Provider Directory

Locations

11333 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 463-0653

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1770409849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 INDIANWOOD RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621320",
            "telephone_number": "313-463-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123038",
            "telephone_number": "313-463-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE LAKES MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "AIYASH",
        "authorized_official_first_name": "RAMZY",
        "authorized_official_middle_name": "NAJI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-463-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.