DEARBORN OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.C.
NPI 1073608618
Obstetrics & Gynecology - Gynecology in Dearborn, MI

Active since October 03, 2006CLIA 23D0715157 · Microscopy
25080 MICHIGAN AVE, DEARBORN, MI 48124(313) 730-8880(313) 730-1167 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dearborn Obstetrical And Gynecological Associates, P.c. NPPES

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

DEARBORN OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.C. (NPI 1073608618) is a healthcare organization registered as a gynecology in Dearborn, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Thomas Meyer, President, as its authorized official.

NPPES Registry Identity

NPI1073608618
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameDEARBORN OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.C.
Location Address25080 MICHIGAN AVEDearborn, MI 48124
Mailing Address25080 Michigan AveDearborn, MI 48124 · (313) 730-8880 · Fax (313) 730-1167
Fax(313) 730-1167
Organization SubpartNo
Authorized OfficialThomas MeyerPresident · (313) 730-8880
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1073608618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MI · TM0495914
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
25080 MICHIGAN AVE, Dearborn, MI 48124

Other Identifiers 1

Medicare PIN0Q24647MI

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

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)

Dearborn Obstetrical And Gynecological Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20100916000159Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Dearborn Obstetrical And Gynecological Associates, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Obstetrics/Gynecology
NPI 1477916427
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386649135
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1700426616
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1851631287
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1487658829
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1962406603
25080 MICHIGAN AVE
Dearborn, MI 48124
(313) 730-8880
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1114341807
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7500
✔ PECOS✔ Accepts Medicare3.5 mi
Obstetrics/Gynecology
NPI 1134743305
29751 LITTLE MACK AVE STE B
Roseville, MI 48066
(586) 415-6200
✔ PECOS✔ Accepts Medicare24 mi

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) 23D0715157

Dearborn Obstetrical & Gynecological Associates PC · Dearborn, MI
Active · expires Aug 31, 2028
CLIA Number23D0715157
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJennifer L. Cohn
Laboratory Phone(313) 730-8880
Laboratory LocationDearborn Obstetrical & Gynecological Associates PC25080 Michigan Ave, Dearborn, MI 48124
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Dearborn Obstetrical And Gynecological Associates, P.C.'s NPI number?

The NPI number for Dearborn Obstetrical And Gynecological Associates, P.C. is 1073608618. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Dearborn Obstetrical And Gynecological Associates, P.C. located?

Dearborn Obstetrical And Gynecological Associates, P.C. is located at 25080 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 730-8880.

What is Dearborn Obstetrical And Gynecological Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Dearborn Obstetrical And Gynecological Associates, P.C. enrolled in Medicare?

Yes. Dearborn Obstetrical And Gynecological Associates, P.C. is registered in the Medicare PECOS enrollment system.

When is Dearborn Obstetrical And Gynecological Associates, 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 December 31, 2026. 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 Dearborn Obstetrical And Gynecological Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Dearborn Obstetrical And Gynecological Associates, P.C.. 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 Obstetrics/Gynecology (6) and Certified Nurse Midwife (CNM) (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dearborn Obstetrical And Gynecological Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0715157) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dearborn Obstetrical And Gynecological Associates, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dearborn Obstetrical And Gynecological Associates, 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 Dearborn Obstetrical And Gynecological Associates, P.C. was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.