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ELITE PRIME CARE PLLC
NPI 1104542828
Internal Medicine in Canton, MI

Active since October 14, 2022CLIA 23D2266910 · Waiver
8542 N CANTON CENTER RD, CANTON, MI 48187(734) 455-8310(313) 337-8984 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 holds a CLIA Waiver certificate valid through August 16, 2026 and lists Mohamed Nasser, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1104542828
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE PRIME CARE PLLC
Location Address8542 N CANTON CENTER RDCanton, MI 48187-1310
Mailing Address22335 Waterland DrNorthville, MI 48167-3500 · (313) 207-2460 · Fax (313) 337-8984
Phone(734) 455-8310
Fax(313) 337-8984
Organization SubpartNo
Authorized OfficialMohamed NasserManaging Director · (313) 207-2460
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1104542828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8542 N CANTON CENTER RD, Canton, MI 48187
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2266910

Elite Prime Care PLLC - Canton · Canton, MI
Active · expires Aug 16, 2026
CLIA Number23D2266910
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorMohamed Nasser
Laboratory Phone(734) 455-8310
Laboratory LocationElite Prime Care PLLC - Canton8542 N Canton Center Road, Canton, MI 48187
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN HOSPITALISTS ASSOCIATES PC
Internal Medicine
8542 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (313) 207-2460
PREM P DUA MD PC
Family Medicine
8542 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 455-8310
NICOLE SCHWARZ TEASDALE FNP-BC
Nurse Practitioner (Family)
8542 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 455-8310
BRIAN BENENATI
General Practice
8542 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 455-8310

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.

Does Elite Prime Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2266910) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Prime 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 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 3 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.