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HIGHLAND PARK MEDICAL CENTER, PLLC
NPI 1023305026
Family Medicine in Highland Park, MI

Active since June 29, 2011CLIA 23D0369636 · Waiver
15119 WOODWARD AVE, HIGHLAND PARK, MI 48203(313) 865-2020 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1023305026
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHIGHLAND PARK MEDICAL CENTER, PLLC
Location Address15119 WOODWARD AVEHighland Park, MI 48203-2907
Mailing Address15119 Woodward AveHighland Park, MI 48203-2907 · (313) 865-2020
Phone(313) 865-2020
Organization SubpartNo
Authorized OfficialSunitha NambiarMedical Director · (313) 865-2020
Enumeration DateJune 29, 2011
✔ NPI 1023305026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15119 WOODWARD AVE, Highland Park, MI 48203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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, MI
Active · expires Apr 30, 2027
CLIA Number23D0369636
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorSunitha Nambiar
Laboratory Phone(313) 865-2020
Laboratory LocationHighland Park Medical Center PLLC15119 Woodward Avenue, Highland Park, MI 48203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE VIEIRA
Physician Assistant
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
DR. ASHWANI JAISWAL M.D.
Family Medicine
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
DR. SUNITHA NAMBIAR M.D.
Family Medicine
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
MRS. AMY ABDELNOUR DAVISSON PA-C
Physician Assistant
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020

Frequently 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.

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.