ELITE PRIME CARE PLLC
NPI 1104542828
Internal Medicine in Canton, MI
About Elite Prime Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PRIME CARE PLLC (NPI 1104542828) is a healthcare organization registered as an internal medicine in Canton, Michigan and active in the NPI registry since October 2022. The organization lists Mohamed Nasser, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Elite Prime Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Elite Prime Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Elite Prime Care PLLC's NPI number?
The NPI number for Elite Prime Care PLLC is 1104542828. It was assigned to this organization in the NPPES registry on October 14, 2022.
Where is Elite Prime Care PLLC located?
Elite Prime Care PLLC is located at 8542 N Canton Center Rd, Canton, MI 48187. The listed phone number is (734) 455-8310.
What is Elite Prime Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Elite Prime Care PLLC enrolled in Medicare?
Yes. Elite Prime Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Prime Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Elite Prime 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 (5), General Practice (1) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Elite Prime Care PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elite Prime 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 Elite Prime Care PLLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elite Prime Care Pllc · NPI 1104542828
Internal Medicine organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since October 14, 2022.
## Identity
- **NPI:** 1104542828 (Entity type: Organization)
- **Enumerated:** October 14, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mohamed Nasser, MANAGING DIRECTOR
## Practice location
- **Address:** 8542 N CANTON CENTER RD, Canton, MI 48187-1310
- **Phone:** (734) 455-8310 · **Fax:** (313) 337-8984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), General Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104542828) · Data from the CMS NPPES public registry.