Dedicated Physicians Group of Michigan, PLLC
Organization Active NPI Internal Medicine Physician · Miami Gardens, FL
NPI 1992392393 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1992392393
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC
- Practice address
- 1395 NW 167TH St
Miami Gardens, FL 33169-5710 - Phone
- (305) 628-6117
- NPI assigned
- Dec 31, 2020
- Organization subpart
- No
Authorized official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 831-4722
Corporate family (same tax ID) 6
Practitioners 44
-
Kamaljeet Bhatia, MD
-
Arti Madhavan, MD
-
Adbah Mohamed, DO
-
Poonam Patel, M.D.
-
Alexandros John Samohin, M.D.
-
Afshan Khan, D.O.
-
Judy Ha Pham, MD
-
Srikar T Reddy, M.D.
-
Flura S. Dawde, M.D.
-
Eliezer Arody Gomez, M.D.
-
Sandra L Molteni, DO
-
Usha Pasupuleti, MD
-
Sankalp Bhatnagar, M.D.
-
James Anthony Brown, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210201000062 | MI | Part B Supplier - Clinic/Group Practice | 1153735287 |
Receives reassigned benefits from 43 practitioners Practice locations: Warren, MI; Southfield, MI; Eastpointe, MI; Detroit, MI |
National Provider Directory
- Tax ID family
- Dedicated Physicians Group of Michigan PLLC
Locations
6150 Cadieux Rd
Detroit, MI 48224
Phone (313) 398-2800
21811 Kelly Rd
Eastpointe, MI 48021
Phone (586) 649-3388
21832 W 11 Mile Rd
Southfield, MI 48076
Phone (248) 375-4040
1921 E 8 Mile Rd
Warren, MI 48091
Phone (586) 755-3046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Other names
- Dedicated Senior Medical Center
Other providers in Miami Gardens, FL
- Debora Dejesus
- Carlos Alberto Decoro Rojas
- Dedicated Indiana Holding LLC
- Dedicated Missouri Holding, LLC
- Dedicated Physicians Group of Kansas LLC
- Dedicated Physicians Group of North Carolina PLLC
- Dedicated Physicians Group of Pennsylvania, PLLC
- Dedicated Physicians Group of Texas PLLC
- Dedicated Senior Medical Center of Florida, LLC
- Dedicated South Carolina Holding, LLC
All providers in Miami Gardens, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.