Troy Primary Care Center, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HK072936 Issued in MI

Legal business name

TROY PRIMARY CARE CENTER, P.C.

Practice address

1380 Coolidge Hwy
Suite 100
Troy, MI 48084-7069

Phone

(248) 288-4000

Fax

(248) 288-3900

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hadeel Kado, MDNPI 1326010760

Title

President

Phone

(248) 288-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hadeel N Kado, M.D.

  • Family Medicine Physician
  • Troy, MI
  • NPI 1326010760
  Medicare reassignment NPD Authorized official
• Amanda McKay

  • Primary Care Nurse Practitioner
  • Troy, MI
  • NPI 1457842361
  Medicare reassignment NPD
• Shivani Sharma, RD, LD, CLT

  • Registered Dietitian
  • Troy, MI
  • NPI 1386872299
  Medicare reassignment NPD

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1902045073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99640",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999640",
            "telephone_number": "248-288-4000",
            "fax_number": "248-288-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847069",
            "telephone_number": "248-288-4000",
            "fax_number": "248-288-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PRIMARY CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "KADO",
        "authorized_official_first_name": "HADEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-288-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "HK072936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423382",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Neuropathy Center PLLC
• Troy Pediatrics
• Troy Periodontics & Dental Implants
• Troy Physical Therapy Services LLC
• Troy Podiatrist PC
• Troy Professional Pharmacy Inc
• Troy RX Pharmacy LLC
• Troy SC Center LLC
• Troy Sleep Center, PLC
• Troy Surgicare

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.