Organization Active NPI

Pfefferkorn MD PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1891303061
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PFEFFERKORN MD PLLC
Practice address
46325 W 12 Mile Rd Ste 390
Novi, MI 48377-2464
Phone
(248) 719-7271
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Tassia Zoma Pfefferkorn, MD
Title
Owner
Phone
(248) 860-8009

Specialties & licenses 1

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

Addresses

Primary practice location

46325 W 12 Mile Rd Ste 390
Novi, MI 48377-2464

Mailing address

6490 Brockhurst Blvd
W Bloomfield, MI 48322-1230

Other practice location 1

6405 Telegraph Rd Ste K1
Bloomfield Hills, MI 48301-1775
Phone (248) 719-7271

Other identifiers 1

IdentifierTypeStateIssuer
4301100187OtherMILARA

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
23D2277011Pfefferkorn MD PLLC6405 Telegraph Road K-1, Bloomfield Hills, MI 48301Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

6405 Telegraph Rd
Ste K1
Bloomfield Hills, MI 48301
Phone (248) 719-7271

44150 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 347-5800

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1891303061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 BROCKHURST BLVD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 390",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772464",
            "telephone_number": "248-719-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Telegraph Rd Ste K1",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483011775",
            "country_code": "US",
            "telephone_number": "248-719-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PFEFFERKORN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "PFEFFERKORN",
        "authorized_official_first_name": "TASSIA",
        "authorized_official_middle_name": "ZOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-860-8009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "4301100187",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.