Commerce Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMMERCE MEDICAL CLINIC

Practice address

1990 Union Lake Rd Ste 100
Commerce Township, MI 48382-2200

Phone

(248) 363-7109

Fax

(248) 363-7211

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Rajat Daniel, MDNPI 1336203603

Title

Ceo

Phone

(248) 363-7109

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

Practitioners 2

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

• Rajat Daniel, MD

  • Internal Medicine Physician
  • Commerce Township, MI
  • NPI 1336203603

  Internal Medicine, MI

  Medicare reassignment NPD Authorized official
• Nicole Thompson, NP

  • Family Nurse Practitioner
  • Royal Oak, MI
  • NPI 1396281291

  MI

  Medicare reassignment

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1972192599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822200",
            "telephone_number": "248-363-7109",
            "fax_number": "248-363-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822200",
            "telephone_number": "248-363-7109",
            "fax_number": "248-363-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-363-7109",
        "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": "UHC",
            "identifier": "1336203603",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1990 Union Lake Rd Ste 100",
            "city": "Commerce Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483822200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Commerce Dentistry, PLLC
• Commerce Family Dentistry,P.C.
• Commerce Family Pharmacy LLC
• Commerce Family Pharmacy, LLC
• Commerce Foot & Ankle Specialists, P.C.
• Commerce Optometry, PLLC
• Commerce Pediatric Associates P.C.
• Commerce Periodontology, PLLC
• Commerce Primary Care, PC
• Commerce Township Dialysis Center LLC

• All providers in Commerce Township, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.