ADVANCED CARDIOVASCULAR CLINIC PC
NPI 1104067487
Clinic/Center in Flushing, MI
About Advanced Cardiovascular Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED CARDIOVASCULAR CLINIC PC (NPI 1104067487) is a healthcare organization registered as a clinic/center in Flushing, Michigan and active in the NPI registry since March 2009. The organization lists Mohammad Luay Alkotob, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Advanced Cardiovascular Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Advanced Cardiovascular Clinic PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Advanced Cardiovascular Clinic PC's NPI number?
The NPI number for Advanced Cardiovascular Clinic PC is 1104067487. It was assigned to this organization in the NPPES registry on March 16, 2009.
Where is Advanced Cardiovascular Clinic PC located?
Advanced Cardiovascular Clinic PC is located at 6122 W Pierson Rd Unit 1, Flushing, MI 48433. The listed phone number is (810) 600-3399.
What is Advanced Cardiovascular Clinic PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Advanced Cardiovascular Clinic PC enrolled in Medicare?
Yes. Advanced Cardiovascular Clinic PC is registered in the Medicare PECOS enrollment system.
When is Advanced Cardiovascular Clinic PC'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 February 28, 2027. 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 Advanced Cardiovascular Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Cardiovascular Clinic PC. 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 Cardiovascular Disease (Cardiology) (5), Nurse Practitioner (5) and Cardiac Electrophysiology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advanced Cardiovascular Clinic 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 Advanced Cardiovascular Clinic 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 Advanced Cardiovascular Clinic PC was last updated on September 13, 2016. 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.
# Advanced Cardiovascular Clinic Pc · NPI 1104067487
Clinic/Center organization in Flushing, Michigan. Organization record, active in the CMS NPPES registry since March 16, 2009.
## Identity
- **NPI:** 1104067487 (Entity type: Organization)
- **Enumerated:** March 16, 2009
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Mohammad Alkotob, PRESIDENT
## Practice location
- **Address:** 6122 W PIERSON RD, UNIT 1, Flushing, MI 48433-3104
- **Phone:** (810) 600-3399 · **Fax:** (810) 600-3398
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (5), Nurse Practitioner (5), Cardiac Electrophysiology (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1104067487) · Data from the CMS NPPES public registry.