Individual provider Active NPI

Amine Pierre Amine, M.D

  • Internal Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1861812828
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301105213 Issued in MI
Practice address
Amine P. Amine MD PC
22631 Greater Mack Ave, Suite 100
St Clair Shores, MI 48080
Phone
(586) 800-0086
Fax
(586) 800-0087
NPI assigned
Apr 17, 2014
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 4301105213 MI Primary

Addresses

Primary practice location

Amine P. Amine MD PC
22631 Greater Mack Ave, Suite 100
St Clair Shores, MI 48080

Mailing address

Amine P. Amine MD PC
22631 Greater Mack Ave, Suite 100
St Clair Shores, MI 48080
Phone (586) 800-0086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815001598 MI Practitioner - Internal Medicine 6305118175 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Associates Group PCGroup PAC ID 4981149630, 2 clinicians
Amine P Amine MD PCGroup PAC ID 5294120531, 3 clinicians
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

22631 Greater Mack Ave
Saint Clair Shores, MI 48080-2055
Phone (586) 800-0086

22632 Greater Mack Ave
Saint Clair Shores, MI 48080-0000
Phone (586) 800-0087

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4234

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301105213MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates Group PC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Amine P Amine MD PC CurrentSince Feb 1, 2022 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Mar 1, 2022 Accepting new patients
Metro Hospitalist Group PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Seasons Medical Group of Michigan, PC CurrentSince Aug 7, 2023 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Aug 8, 2017 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Warren Opco, LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

20211 Ann Arbor Trl
Dearborn Hts, MI 48127
Phone (313) 336-4444

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698

200 W 2nd St
Unit 67
Royal Oak, MI 48068

22631 Greater Mack Ave
Saint Clair Shores, MI 48080
Phone (586) 771-0100

22631 Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 771-0100

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: aamine1065860@direct.hfhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1861812828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AMINE P. AMINE MD PC",
            "address_2": "22631 GREATER MACK AVE, SUITE 100",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-800-0086",
            "fax_number": "586-800-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMINE P. AMINE MD PC",
            "address_2": "22631 GREATER MACK AVE, SUITE 100",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-800-0086",
            "fax_number": "586-800-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINE",
        "first_name": "AMINE",
        "middle_name": "PIERRE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301105213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.