Organization Active NPI

Downriver Internal Medicine Assoc

Doing business as Taylor International Medicine Associates

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1851831929
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060555 Issued in MI
Legal business name
DOWNRIVER INTERNAL MEDICINE ASSOC
Doing business as
Taylor International Medicine Associates
Practice address
23300 Ecorse Rd
Taylor, MI 48180-1768
Phone
(313) 291-9500
Fax
(313) 291-9516
NPI assigned
Mar 8, 2017
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Mrs. Linda Fesko
Title
Office Manager
Phone
(313) 291-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301060555 MI Primary

Addresses

Primary practice location

23300 Ecorse Rd
Taylor, MI 48180-1768

Mailing address

23300 Ecorse Rd
Taylor, MI 48180-1768
Phone (313) 291-9500

Other names 1

  • Taylor International Medicine Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170410001473 MI Part B Supplier - Clinic/Group Practice 6507142387 Receives reassigned benefits from 1 practitioner
Practice locations: Taylor, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0985165Downriver Internal Medicine Assoc23300 Ecorse, Taylor, MI 48180Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1851831929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801768",
            "telephone_number": "313-291-9500",
            "fax_number": "313-291-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801768",
            "telephone_number": "313-291-9500",
            "fax_number": "313-291-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER INTERNAL MEDICINE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "FESKO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-291-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor International Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.