Active NPI
Pfefferkorn MD PLLC
- Internal Medicine Physician
- Novi, MI
National Provider Identifier
1891303061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301100187 | Other | MI | LARA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2277011 | Pfefferkorn MD PLLC | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.