HIGHLAND PARK MEDICAL CENTER, PLLC
NPI 1023305026
Family Medicine in Highland Park, MI
About Highland Park Medical Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIGHLAND PARK MEDICAL CENTER, PLLC (NPI 1023305026) is a healthcare organization registered as a family medicine in Highland Park, Michigan and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Sunitha Nambiar, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Highland Park Medical Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Highland Park Medical Center, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 23D0369636
Highland Park Medical Center PLLC · Highland Park, 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 Highland Park Medical Center, PLLC's NPI number?
The NPI number for Highland Park Medical Center, PLLC is 1023305026. It was assigned to this organization in the NPPES registry on June 29, 2011.
Where is Highland Park Medical Center, PLLC located?
Highland Park Medical Center, PLLC is located at 15119 Woodward Ave, Highland Park, MI 48203. The listed phone number is (313) 865-2020.
What is Highland Park Medical Center, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Highland Park Medical Center, PLLC enrolled in Medicare?
Yes. Highland Park Medical Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Highland Park Medical Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Highland Park Medical Center, PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Highland Park Medical Center, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0369636) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Highland Park Medical Center, PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Highland Park Medical Center, PLLC 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 Highland Park Medical Center, PLLC was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Highland Park Medical Center, Pllc · NPI 1023305026
Family Medicine organization in Highland Park, Michigan. Organization record, active in the CMS NPPES registry since June 29, 2011.
## Identity
- **NPI:** 1023305026 (Entity type: Organization)
- **Enumerated:** June 29, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sunitha Nambiar, MEDICAL DIRECTOR
## Practice location
- **Address:** 15119 WOODWARD AVE, Highland Park, MI 48203-2907
- **Phone:** (313) 865-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023305026) · Data from the CMS NPPES public registry.