FAMILY DOC CLINIC AND URGENT CARE PLLC
NPI 1104406289
Family Medicine in Dearborn Heights, MI
About Family Doc Clinic And Urgent Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY DOC CLINIC AND URGENT CARE PLLC (NPI 1104406289) is a healthcare organization registered as a family medicine in Dearborn Heights, Michigan and active in the NPI registry since April 2021. The organization lists Ali Ibrahim Nasrallah, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Family Doc Clinic And Urgent Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Family Doc Clinic And Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 Family Doc Clinic And Urgent Care PLLC's NPI number?
The NPI number for Family Doc Clinic And Urgent Care PLLC is 1104406289. It was assigned to this organization in the NPPES registry on April 12, 2021.
Where is Family Doc Clinic And Urgent Care PLLC located?
Family Doc Clinic And Urgent Care PLLC is located at 25350 W Warren St, Dearborn Heights, MI 48127. The listed phone number is (313) 914-3666.
What is Family Doc Clinic And Urgent Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Doc Clinic And Urgent Care PLLC enrolled in Medicare?
Yes. Family Doc Clinic And Urgent Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Doc Clinic And Urgent Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Doc Clinic And Urgent Care 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 (8) and Family Practice (4). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Family Doc Clinic And Urgent Care PLLC 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 Family Doc Clinic And Urgent Care 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 Family Doc Clinic And Urgent Care PLLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Family Doc Clinic And Urgent Care Pllc · NPI 1104406289
Family Medicine organization in Dearborn Heights, Michigan. Organization record, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1104406289 (Entity type: Organization)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ali Nasrallah, PRESIDENT
## Practice location
- **Address:** 25350 W WARREN ST, Dearborn Heights, MI 48127-2102
- **Phone:** (313) 914-3666 · **Fax:** (313) 380-0672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (4); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2026
- **Other identifiers:** Medicaid 4301503083 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104406289) · Data from the CMS NPPES public registry.