NPIMap

Organization Active NPI

Progressive Care Medical Group of Mi, PLLC

  • Internal Medicine Physician
  • Okemos, MI
National Provider Identifier
1861966244
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC
Doing business as
Progressive Care Medical Group of MI, PLLC
Practice address
3860 Dobie Rd
Okemos, MI 48864-3704
Phone
(800) 860-3274
Fax
(888) 910-1059
NPI assigned
Jan 18, 2019
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Deepak Rameshchandra Patel
Title
Owner
Phone
(212) 734-6621

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3860 Dobie Rd
Okemos, MI 48864-3704

Mailing address

PO Box 1040
Syosset, NY 11791-0010
Phone (800) 860-3274

Other names 1

  • Progressive Care Medical Group of MI, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001333 MI Part B Supplier - Clinic/Group Practice 5294075040 Receives reassigned benefits from 11 practitioners
Practice locations: Okemos, MI; Portage, MI; Montrose, MI; Lansing, MI; Kalamazoo, MI; Jackson, MI; Haslett, MI; Greenville, MI…

National Provider Directory

National Provider Directory

Locations

5250 Marsh Rd
Haslett, MI 48840
Phone (517) 349-2662

8001 Cottonwood Dr
Jenison, MI 49428
Phone (616) 457-9815

734 Starkweather Dr
Lansing, MI 48917
Phone (517) 323-9133

734 Starkweather Dr
Lansing, MI 48917
Phone (517) 323-9133

30 E 60th St
Ste 1105
New York, NY 10022
Phone (212) 946-1063

Practitioners & affiliated clinicians

Practitioners 11

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1861966244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910010",
            "telephone_number": "800-860-3274",
            "fax_number": "888-910-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 DOBIE RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643704",
            "telephone_number": "800-860-3274",
            "fax_number": "888-910-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "RAMESHCHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Care Medical Group of MI, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.