PATIENT DIAGNOSTICS PLLC
NPI 1063107738
Internal Medicine in West Bloomfield, MI
About Patient Diagnostics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATIENT DIAGNOSTICS PLLC (NPI 1063107738) is a healthcare organization registered as an internal medicine in West Bloomfield, Michigan and active in the NPI registry since April 2023. The organization lists Nicholas Tisdale, Ceo & Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patient Diagnostics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Patient Diagnostics PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Patient Diagnostics PLLC's NPI number?
The NPI number for Patient Diagnostics PLLC is 1063107738. It was assigned to this organization in the NPPES registry on April 10, 2023.
Where is Patient Diagnostics PLLC located?
Patient Diagnostics PLLC is located at 6510 Legacy Woods Trl, West Bloomfield, MI 48322. The listed phone number is (248) 469-5646.
What is Patient Diagnostics PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Patient Diagnostics PLLC enrolled in Medicare?
Yes. Patient Diagnostics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patient Diagnostics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Patient Diagnostics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Patient Diagnostics PLLC was last updated on April 10, 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.
# Patient Diagnostics Pllc · NPI 1063107738
Internal Medicine organization in West Bloomfield, Michigan. Organization record, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1063107738 (Entity type: Organization)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Nicholas Tisdale, CEO & MEDICAL DIRECTOR
## Practice location
- **Address:** 6510 LEGACY WOODS TRL, West Bloomfield, MI 48322-4804
- **Phone:** (248) 469-5646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063107738) · Data from the CMS NPPES public registry.