Alliance Physician Services of Michigan, P.C.
Organization Active NPI Durable Medical Equipment & Medical Supplies · West Bloomfield, MI
NPI 1801978309 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1801978309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
- Practice address
- 2300 Haggerty Road
Suite 2000
West Bloomfield, MI 48323-2102 - Phone
- (248) 624-9900
- Fax
- (248) 896-5450
- NPI assigned
- Oct 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MICHIGAN INSTITUTE OF UROLOGY PC
Authorized official
- Name
- Tracy Lee McAuley
- Title
- Credentialer
- Phone
- (586) 771-4820
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 19
Practitioners 87
-
Pamela Merita Jones, R.N., N.P.
-
Zachary Jonathan Liss, M.D.
-
Ashok Y Reddy, MD
-
Jeffrey Schock, D.O.
-
Kirit K Vora, MD
-
John Glenn Anema, M.D.
-
Sarah Arnkoff, NP
-
Amanda Rita Attisha, FNP-C
-
Theodore Dale Barber, M.D.
-
Mahdi Bazzi, MD
-
Wassim Moussa Bazzi, M.D.
-
Gail M Briolat, ACNP
-
Karis Buford, MD
-
Diane Byrd Campbell, RN, FNP
-
Winifred Ann Carter, RN, ANP-BC
-
Alexander Paul Dehaan, D.O.
-
Robert Lewis Elgin, D.O.
-
Fadi Eliya, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1023344 | Michigan Institute of Urology | Provider-performed microscopy | Jan 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000770 | MI | Part B Supplier - Clinic/Group Practice | 1052223492 |
Receives reassigned benefits from 96 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Novi, MI; Pontiac, MI; Rochester, MI; Rochester Hills, MI; Saint Clair Shores, MI; Southfield, MI; Troy, MI; Utica, MI… |
| O20050329001170 | MI | Part B Supplier - Clinic/Group Practice | 1052223492 |
Receives reassigned benefits from 21 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Bloomfield, MI; Utica, MI; Troy, MI; Saint Clair Shores, MI; Rochester Hills, MI; Pontiac, MI; Macomb, MI; Livonia, MI… |
| O20100930021529 | MI | DME Supplier - Physician - Urology | 1052223492 | Practice locations: West Bloomfield, MI |
National Provider Directory
- Part of
- Wayne Macomb Urolog
Locations
2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | |||
| Pediatric Urology Physician |
2088P0231X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2300 Haggerty Road
Suite 2000
West Bloomfield, MI 48323-2102
Mailing address
20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340E062730 | Other | MI | BCBSM |
| 540E016120 | Other | MI | BCBSM DME |
| CB9133 | Other | MI | RAILROAD MEDICARE |
Other names
- Michigan Institute of Urology
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in West Bloomfield, MI
- Jaimie Allen
- Marcus Allen
- Allergy & Asthma, P. C.
- Alliance Physician Services of Michigan, P.C.
- Alliance Physician Services of Michigan, P.C.
- Alliancenet
- Allied Surgeons, P.C.
- Alan Simon Alnajjar
- Elias G Alqazaha
- Alsaidi Perio Center, PLC
All providers in West Bloomfield, MI · Durable Medical Equipment & Medical Supplies in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.