BETTS MEDICAL GROUP LLC
NPI 1083908081
Internal Medicine in Oak Park, MI

Active since June 07, 2011CLIA 23D0983813 · Waiver
21040 GREENFIELD RD, STE 200, OAK PARK, MI 48237(248) 967-1888(248) 967-1885 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Betts Medical Group Llc NPPES

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

BETTS MEDICAL GROUP LLC (NPI 1083908081) is a healthcare organization registered as an internal medicine in Oak Park, Michigan and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Laquinta L Edwards, Biller, as its authorized official.

NPPES Registry Identity

NPI1083908081
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETTS MEDICAL GROUP LLC
Location Address21040 GREENFIELD RD, STE 200Oak Park, MI 48237-3025
Mailing AddressPo Box 21790Detroit, MI 48221-0790 · (248) 967-1888 · Fax (248) 967-1885
Fax(248) 967-1885
Organization SubpartNo
Authorized OfficialLaquinta L EdwardsBiller · (248) 327-6636
Enumeration DateJune 7, 2011
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1083908081 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 · 4301040115
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.
21040 GREENFIELD RD, Oak Park, MI 48237

Other Identifiers 2

Medicare PINM15182
Medicare PIN0820527

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betts Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Betts Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1811032113
6071 W OUTER DR
Detroit, MI 48235
(313) 966-3300
✔ PECOS✔ Accepts Medicare2.2 mi
Family Practice
NPI 1134781412
1212 BROADWAY
Highland, IL 62249
(618) 651-0022
✔ PECOS✔ Accepts Medicare426 mi
Nurse Practitioner
NPI 1801321393
600 N WALKER AVE STE 103
Oklahoma City, OK 73102
(405) 445-9555
✔ PECOS907 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 23D0983813

Betts Medical Group · Oak Park, MI
Active · expires Mar 5, 2027
CLIA Number23D0983813
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorMargaret L. Betts
Laboratory Phone(248) 967-1888
Laboratory LocationBetts Medical Group21040 Greenfield Road Second Floor, Oak Park, MI 48237
CLIA data matches this NPI record on: Address Name Phone
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 Betts Medical Group LLC's NPI number?

The NPI number for Betts Medical Group LLC is 1083908081. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Betts Medical Group LLC located?

Betts Medical Group LLC is located at 21040 Greenfield Rd Ste 200, Oak Park, MI 48237. The listed phone number is (248) 967-1888.

What is Betts Medical Group LLC's specialty?

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

Is Betts Medical Group LLC enrolled in Medicare?

Yes. Betts Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Betts Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Betts Medical Group LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Betts Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0983813) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Betts Medical Group LLC was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.