Elite Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE MEDICAL GROUP PC

Practice address

3210 Pine Lake Rd
West Bloomfield, MI 48324-1951

Phone

(248) 974-2511

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Yousif Ishmail, MD

Title

Owner

Phone

(248) 974-2511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 11

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

• Shaileshkumar K Desai, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1225046220
  Medicare reassignment Care Compare group NPD
• Yousif T. Ismail, M.D

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1306078662
  Medicare reassignment Care Compare group NPD
• Kyle Khaled Zakkar, MD

  • Pulmonary Disease Physician
  • Tucson, AZ
  • NPI 1083104525

  Internal Medicine, MI

  Medicare reassignment Care Compare group NPD
• Ammar Wadi Alkhafaji, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1164047932
  Medicare reassignment NPD
• Rose Natheer, M.D.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1184030942
  Medicare reassignment NPD
• Remi O Soile, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1366510893
  Medicare reassignment NPD
• Ahmad Moayad Yasin, M.D.

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1598007510
  Medicare reassignment NPD
• Khalid Sabah Zakaria, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1033101084
  Medicare reassignment NPD
• Maya Atallah, PA-C

  • Medical Physician Assistant
  • Farmington Hills, MI
  • NPI 1851186225
  NPD
• Aiman M Mahmood, M.D.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1003170739
  NPD
• Souheil Saba, MD

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1225011711
  NPD (past)

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1801637293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 PINE LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241951",
            "telephone_number": "248-974-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 PINE LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241951",
            "telephone_number": "248-974-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "ISHMAIL",
        "authorized_official_first_name": "YOUSIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-974-2511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torimae Eldridge
• Elevated Speech and Language Therapy LLC
• Nicolette Kristin Elia, CRNA
• Clara Elinger, APRN, BC
• Elite Dental Care PLLC
• Elizabeth C Smith MD PC
• Basma Elkaliouby, BCBA
• Nada Elkheshen, RBT
• Ellen Stone PC
• Rachel Ellentuck, LMSW

• Internal Medicine Physician in West Bloomfield, MI
• Providers in West Bloomfield, 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 Jun 1, 2024; 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.