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GREAT LAKES MEDICAL GROUP PC
NPI 1053787853
Internal Medicine in Eastpointe, MI

Active since August 15, 2015
19070 E 10 MILE RD, EASTPOINTE, MI 48021(313) 418-9952 Get Directions Write a Review

NPPES record last updated: August 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES MEDICAL GROUP PC (NPI 1053787853) is a healthcare organization registered as an internal medicine in Eastpointe, Michigan and active in the NPI registry since August 2015. The organization lists Mohamad Rahbar, President, as its authorized official.

NPPES Registry Identity

NPI1053787853
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREAT LAKES MEDICAL GROUP PC
Location Address19070 E 10 MILE RDEastpointe, MI 48021-1449
Mailing Address19070 E 10 Mile RdEastpointe, MI 48021-1449 · (313) 418-9952
Phone(313) 418-9952
Organization SubpartNo
Authorized OfficialMohamad RahbarPresident · (313) 418-9952
Enumeration DateAugust 15, 2015
✔ NPI 1053787853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5315012655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19070 E 10 MILE RD, Eastpointe, MI 48021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

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.

GREAT LAKES URGENT CARE PC OF EASTSIDE
Clinic/Center (Urgent Care)
19070 E 10 MILE RD
EASTPOINTE, MI 48021
Macomb County (586) 773-1383
KATARZYNA NOELLE BROCK NP
Nurse Practitioner (Primary Care)
19070 E 10 MILE RD
EASTPOINTE, MI 48021
Macomb County (586) 445-0177
APRIL PROVENZINO NP-C
Nurse Practitioner (Adult Health)
19070 E 10 MILE RD
EASTPOINTE, MI 48021
Macomb County (586) 445-0177
GREAT LAKES URGENT CARE PC OF EASTSIDE
Internal Medicine
19070 E 10 MILE RD
EASTPOINTE, MI 48021
Macomb County (586) 773-1383

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 Great Lakes Medical Group PC's NPI number?

The NPI number for Great Lakes Medical Group PC is 1053787853. It was assigned to this organization in the NPPES registry on August 15, 2015.

Where is Great Lakes Medical Group PC located?

Great Lakes Medical Group PC is located at 19070 E 10 Mile Rd, Eastpointe, MI 48021. The listed phone number is (313) 418-9952.

What is Great Lakes Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Great Lakes Medical Group PC 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 Great Lakes Medical Group PC 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 Great Lakes Medical Group PC was last updated on August 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.