Sterling Heights Medical Center, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DC005678 Issued in MI

Legal business name

STERLING HEIGHTS MEDICAL CENTER, PC

Practice address

11600 15 Mile Rd
Sterling Heights, MI 48312-5100

Phone

(586) 939-3020

Fax

(586) 939-2191

NPI assigned

Nov 14, 2006

Last updated

Aug 22, 2020By 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

Mrs. Kimberly Krzysik

Title

Office Manager

Phone

(586) 939-3020

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.

• Donald Daniel Cucchi, DO

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1326039116
  Medicare reassignment NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912079211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125100",
            "telephone_number": "586-939-3020",
            "fax_number": "586-939-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125100",
            "telephone_number": "586-939-3020",
            "fax_number": "586-939-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEIGHTS MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRZYSIK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-939-3020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DC005678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324783",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterling Heights Chiropractic Clinic P C
• Sterling Heights Comfort Care LLC
• Sterling Heights Dental Care P.C.
• Sterling Heights Dentistry PLLC
• Sterling Heights Foot Care, P.C.
• Sterling Heights Opco LLC (Medilodge of Sterling Heights)
• Sterling Heights Pain Management
• Sterling Heights Primary Care PLLC
• Sterling Heights Treatment Services, LLC
• Sterling Heights Urgent Care PLLC

• Family Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, 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 Aug 22, 2020; 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.