Organization Active NPI

Partners in Family Medicine, PLLC

  • Family Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1952592974
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013537 Issued in MI
Legal business name
PARTNERS IN FAMILY MEDICINE, PLLC
Practice address
8180 26 Mile Rd
Suite 101
Shelby Township, MI 48316-5129
Phone
(586) 677-3310
Fax
(586) 677-3326
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Gregory Koby, D.O.NPI 1164474078
Title
Owner
Phone
(248) 608-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101013537 MI Primary

Addresses

Primary practice location

8180 26 Mile Rd
Suite 101
Shelby Township, MI 48316-5129

Mailing address

1949 Blue Grass Dr
Rochester Hills, MI 48306-3229
Phone (248) 608-0492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000817 MI Part B Supplier - Clinic/Group Practice 4688769516 Receives reassigned benefits from 5 practitioners
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kristinawixon@pifmedic.allscriptsdirect.net
  • Direct secure messaging: gregorykoby@pifmedic.allscriptsdirect.net
  • Direct secure messaging: lindsayprusakiewicz@pifmedic.allscriptsdirect.net
  • Direct secure messaging: juligrover@pifmedic.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1952592974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 BLUE GRASS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063229",
            "telephone_number": "248-608-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD",
            "address_2": "SUITE 101",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-677-3310",
            "fax_number": "586-677-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "KOBY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-608-0492",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.