GREENFIELD MEDICAL CENTER OF DEARBORN, P.C.
NPI 1033389606
Clinic/Center - Primary Care in Dearborn, MI
About Greenfield Medical Center Of Dearborn, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENFIELD MEDICAL CENTER OF DEARBORN, P.C. (NPI 1033389606) is a healthcare organization registered as a primary care in Dearborn, Michigan and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through December 10, 2027 and lists Mohamad Khansa, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greenfield Medical Center Of Dearborn, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Greenfield Medical Center Of Dearborn, P.C., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Detroit, MI 48202
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 for Provider-Performed Microscopy Procedures (PPMP) 23D0909591
Greenfield Medical Center Of Dearborn 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 Greenfield Medical Center Of Dearborn, P.C.'s NPI number?
The NPI number for Greenfield Medical Center Of Dearborn, P.C. is 1033389606. It was assigned to this organization in the NPPES registry on March 10, 2008.
Where is Greenfield Medical Center Of Dearborn, P.C. located?
Greenfield Medical Center Of Dearborn, P.C. is located at 5220 Oakman Blvd, Dearborn, MI 48126. The listed phone number is (313) 581-2121.
What is Greenfield Medical Center Of Dearborn, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Greenfield Medical Center Of Dearborn, P.C. enrolled in Medicare?
Yes. Greenfield Medical Center Of Dearborn, P.C. is registered in the Medicare PECOS enrollment system.
When is Greenfield Medical Center Of Dearborn, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Greenfield Medical Center Of Dearborn, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Greenfield Medical Center Of Dearborn, P.C., in Certified Nurse Midwife (CNM), Internal Medicine, Nurse Practitioner, Obstetrics/Gynecology and Psychiatry. 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, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Greenfield Medical Center Of Dearborn, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0909591) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Greenfield Medical Center Of Dearborn, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Greenfield Medical Center Of Dearborn, 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 Greenfield Medical Center Of Dearborn, P.C. was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Greenfield Medical Center Of Dearborn, P.c. · NPI 1033389606
Primary Care organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since March 10, 2008.
## Identity
- **NPI:** 1033389606 (Entity type: Organization)
- **Enumerated:** March 10, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mohamad Khansa, PHYSICIAN OWNER
## Practice location
- **Address:** 5220 OAKMAN BLVD, Dearborn, MI 48126-3318
- **Phone:** (313) 581-2121 · **Fax:** (313) 581-9206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (1), Internal Medicine (1), Nurse Practitioner (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033389606) · Data from the CMS NPPES public registry.