LIVEWELL MEDICAL GROUP PLLC
NPI 1043096688
Internal Medicine in Hamtramck, MI
About Livewell Medical Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVEWELL MEDICAL GROUP PLLC (NPI 1043096688) is a healthcare organization registered as an internal medicine in Hamtramck, Michigan and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Warren and lists Diana El Masri, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Livewell Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Livewell Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Livewell Medical Group PLLC's NPI number?
The NPI number for Livewell Medical Group PLLC is 1043096688. It was assigned to this organization in the NPPES registry on September 7, 2023.
Where is Livewell Medical Group PLLC located?
Livewell Medical Group PLLC is located at 3611 Carpenter St Ste 5, Hamtramck, MI 48212. The listed phone number is (313) 733-8286.
What is Livewell Medical Group PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Livewell Medical Group PLLC enrolled in Medicare?
Yes. Livewell Medical Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Livewell Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Livewell Medical Group 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. The largest specialties are Nurse Practitioner (11) and Internal Medicine (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Livewell Medical Group PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Livewell Medical Group 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 Livewell Medical Group PLLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Livewell Medical Group Pllc · NPI 1043096688
Internal Medicine organization in Hamtramck, Michigan. Organization record, active in the CMS NPPES registry since September 7, 2023.
## Identity
- **NPI:** 1043096688 (Entity type: Organization)
- **Enumerated:** September 7, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Diana El Masri, BILLING MANAGER
## Practice location
- **Address:** 3611 CARPENTER ST STE 5, Hamtramck, MI 48212-2784
- **Phone:** (313) 733-8286 · **Fax:** (313) 826-0899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (2); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043096688) · Data from the CMS NPPES public registry.