DEARBORN FAMILY CLINIC, P.C.
NPI 1013928035
Family Medicine in Dearborn, MI
About Dearborn Family Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEARBORN FAMILY CLINIC, P.C. (NPI 1013928035) is a healthcare organization registered as a family medicine in Dearborn, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Claudia S Shannon, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dearborn Family Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dearborn Family Clinic, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D0367206
Dearborn Family Clinic PC · Dearborn, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dearborn Family Clinic, P.C.'s NPI number?
The NPI number for Dearborn Family Clinic, P.C. is 1013928035. It was assigned to this organization in the NPPES registry on August 11, 2006.
Where is Dearborn Family Clinic, P.C. located?
Dearborn Family Clinic, P.C. is located at 3133 S Telegraph Rd, Dearborn, MI 48124. The listed phone number is (313) 565-6566.
What is Dearborn Family Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dearborn Family Clinic, P.C. enrolled in Medicare?
Yes. Dearborn Family Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dearborn Family Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dearborn Family Clinic, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dearborn Family Clinic, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0367206) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dearborn Family Clinic, P.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dearborn Family Clinic, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dearborn Family Clinic, P.C. was last updated on October 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dearborn Family Clinic, P.c. · NPI 1013928035
Family Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1013928035 (Entity type: Organization)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Claudia Shannon, OFFICE MANAGER
## Practice location
- **Address:** 3133 S TELEGRAPH RD, Dearborn, MI 48124-3472
- **Phone:** (313) 565-6566 · **Fax:** (313) 561-5554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2022
- **Other identifiers:** Medicaid 4622742 (MI); Medicaid 1387925 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013928035) · Data from the CMS NPPES public registry.