METRO MEDICAL CENTER PLLC
NPI 1083359913
Internal Medicine in Hamtramck, MI

Active since May 04, 2022CLIA 23D2266059 · Waiver
11828 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 707-0122 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2024, Mar 24, 2023, May 4, 2022 (3 updates tracked since 2022).

About Metro Medical Center Pllc NPPES

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

METRO MEDICAL CENTER PLLC (NPI 1083359913) is a healthcare organization registered as an internal medicine in Hamtramck, Michigan and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 3, 2028 and lists Maya R Rahman, President, as its authorized official.

NPPES Registry Identity

NPI1083359913
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMETRO MEDICAL CENTER PLLC
Location Address11828 JOSEPH CAMPAU STHamtramck, MI 48212-3049
Mailing Address11828 Joseph Campau StHamtramck, MI 48212-3049 · (313) 707-0122
Organization SubpartNo
Authorized OfficialMaya R RahmanPresident · (313) 707-0122
Enumeration DateMay 4, 2022
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1083359913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
11828 JOSEPH CAMPAU ST, Hamtramck, MI 48212

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)

Metro Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Metro Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1720689193
METRO MEDICAL CENTER, PLLC 11828 JOSEPH CAMPAU ST
Hamtramck, MI 48212
(313) 707-0122
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1780468710
19925 VERNIER RD STE 200
Harper Woods, MI 48225
(313) 468-8124
✔ PECOS✔ Accepts Medicare7.7 mi
Geriatric Medicine
NPI 1982867420
54626 MORNINGSIDE DR
Shelby Township, MI 48316
(904) 252-3930
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1609384569
39450 W 12 MILE RD
Novi, MI 48377
(734) 637-3254
✔ PECOS20 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 of Waiver 23D2266059

Metro Medical Center PLLC · Hamtramck, MI
Active · expires Aug 3, 2028
CLIA Number23D2266059
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2026
Certificate Expiration DateAugust 3, 2028
Laboratory DirectorJesse Castillano
Laboratory Phone(586) 276-7436
Laboratory LocationMetro Medical Center PLLC11828 Joseph Campau Street, Hamtramck, MI 48212
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Metro Medical Center PLLC's NPI number?

The NPI number for Metro Medical Center PLLC is 1083359913. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Metro Medical Center PLLC located?

Metro Medical Center PLLC is located at 11828 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 707-0122.

What is Metro Medical Center PLLC's specialty?

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

Is Metro Medical Center PLLC enrolled in Medicare?

Yes. Metro Medical Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metro Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Metro Medical Center 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 (3) and Geriatric Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Metro Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2266059) is associated with this NPI, valid through August 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Metro Medical Center PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Metro Medical Center 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 Metro Medical Center PLLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.