Michigan Internal Medicine Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301075318 Issued in MI

Legal business name

MICHIGAN INTERNAL MEDICINE CENTER PC

Practice address

928 Bloomfield Knoll Dr
Bloomfield Hills, MI 48304-2015

Phone

(248) 761-5185

NPI assigned

Dec 28, 2007

Last updated

Jan 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen M Nadai

Title

Billing Agent

Phone

(248) 547-3914

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Shaileshkumar K Desai, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1225046220
  Medicare reassignment NPD

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1871777672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BLOOMFIELD KNOLL DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042015",
            "telephone_number": "248-761-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BLOOMFIELD KNOLL DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042015",
            "telephone_number": "248-761-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INTERNAL MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "NADAI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "248-547-3914"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104702923",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106304251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Diagnostic Services, Inc
• Michigan Diagnostic Services, Inc
• Michigan Digestive Associates PC
• Michigan Expert Care and Staffing LLC
• Michigan Institute of Performance and Health
• Michigan Light Therapy PC
• Michigan Mobile Medicine, PLLC
• Michigan Paratransit Services, LLC
• Michigan Psychological & Consulting Services PC
• Michigan Reproductive Medicine

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.