Organization Active NPI

Prime Medical Group PC

Doing business as Flint Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1861615452
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301075121 Issued in MI
Legal business name
PRIME MEDICAL GROUP PC
Doing business as
Flint Cardiovascular Consultants
Michigan Vein & Vascular Institute
Prime Cardiovascular Consultants
Practice address
4455 Town Center Pkwy
Suite a
Flint, MI 48532-3425
Phone
(810) 720-3370
Fax
(810) 720-3367
NPI assigned
Apr 11, 2007
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Samir Aqel Elian, MDNPI 1548235369
Title
President
Phone
(810) 720-3370

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704216332 MI
Cardiac Rehabilitation Registered Nurse 163WC3500X
Cardiovascular Disease Physician 207RC0000X 4301075121 MI Primary
Interventional Cardiology Physician 207RI0011X 4301085958 MI
Vascular Surgery Physician 2086S0129X 4301062994 MI
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 5101016443 MI

Addresses

Primary practice location

4455 Town Center Pkwy
Suite a
Flint, MI 48532-3425

Mailing address

4455 Town Center Pkwy
Suite a
Flint, MI 48532-3425
Phone (810) 720-3370

Other practice location 1

844 S Main St
Lapeer, MI 48446-3027
Phone (810) 444-2720

Other practice location 2

5710 Clio Rd
Flint, MI 48504-1525
Phone (810) 444-4674

Other practice location 3

G5103 Miller Rd
Flint, MI 48507
Phone (810) 820-4030

Other identifiers 1

IdentifierTypeStateIssuer
4618140MedicaidMI

Other names 4

  • Flint Cardiovascular Consultants Doing business as
  • Michigan Vein & Vascular Institute Doing business as
  • Prime Cardiovascular Consultants Doing business as
  • Flint Cardiovascular Consultants PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040813001254 MI Part B Supplier - Clinic/Group Practice 8426021825 Receives reassigned benefits from 10 practitioners
Practice locations: Flint, MI; Lapeer, MI
O20260220003074 MI Part B Supplier - Intensive Cardiac Rehabilitation 8426021825 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1024 Professional Dr
Ste A3
Flint, MI 48532
Phone (810) 230-1440

4455 Town Center Pkwy
Flint, MI 48532
Phone (810) 720-3370

4455 Town Center Pkwy
Ste A
Flint, MI 48532
Phone (810) 600-2269

4455 Town Center Pkwy
Ste A4455
Flint, MI 48532

G3286 Beecher Rd
Flint, MI 48532
Phone (810) 720-3370

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1861615452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 TOWN CENTER PKWY",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-720-3370",
            "fax_number": "810-720-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 TOWN CENTER PKWY",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-720-3370",
            "fax_number": "810-720-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463027",
            "country_code": "US",
            "telephone_number": "810-444-2720",
            "fax_number": "810-720-3367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Clio Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485041525",
            "country_code": "US",
            "telephone_number": "810-444-4674",
            "fax_number": "810-720-3367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "G5103 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48507",
            "country_code": "US",
            "telephone_number": "810-820-4030",
            "fax_number": "810-877-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "ELIAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "AQEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-3370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704216332",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301075121",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301085958",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301062994",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "5101016443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4618140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flint Cardiovascular Consultants PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.