Active NPI
Michigan Preventive Care
- Internal Medicine Physician
- Livonia, MI
National Provider Identifier
1972467694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MICHIGAN PREVENTIVE CARE
- Practice address
- 30425 Industrial Rd
Livonia, MI 48150-2019 - Phone
- (313) 903-1776
- Fax
- (570) 243-0995
- NPI assigned
- Dec 16, 2025
- 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
- Ali Mehieddine Nassri
- Title
- NP
- Phone
- (313) 903-1776
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
30425 Industrial Rd
Livonia, MI 48150-2019
Mailing address
30425 Industrial Rd
Livonia, MI 48150-2019
Phone (313) 903-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30425 Industrial Rd
Livonia, MI 48150
Phone (313) 903-1776
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1942928940
-
- Internal Medicine Physician
- Dewitt, MI
- NPI 1760640940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1972467694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30425 INDUSTRIAL RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502019",
"telephone_number": "313-903-1776",
"fax_number": "570-243-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30425 INDUSTRIAL RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502019",
"telephone_number": "313-903-1776",
"fax_number": "570-243-0995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN PREVENTIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "NASSRI",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "MEHIEDDINE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "313-903-1776"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
- Michigan Ophthalmology Specialists, PLLC
- Michigan Orthopedic Services LLC
- Michigan Pediatric Surgery Center PC
- Michigan Physicians Group, P.C.
- Michigan Physicians Group, PC
- Michigan Psychological and Counseling Institute PLLC
- Michigan Rehab & Pain Management
- Michigan Reproductive Labs PC
- Michigan Reproductive Surgery Center PC
- Michigan Sports and Spine Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.