DETROIT INTEGRATED CARE
NPI 1104706175
Family Medicine - Addiction Medicine in Southfield, MI
About Detroit Integrated Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DETROIT INTEGRATED CARE (NPI 1104706175) is a healthcare organization registered as an addiction medicine in Southfield, Michigan and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through August 30, 2028 and lists Alexis Skuras, 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)
Detroit Integrated Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Detroit Integrated Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 23D2349921
Detroit Integrated Care · Southfield, MIFrequently 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 Detroit Integrated Care's NPI number?
The NPI number for Detroit Integrated Care is 1104706175. It was assigned to this organization in the NPPES registry on September 2, 2025.
Where is Detroit Integrated Care located?
Detroit Integrated Care is located at 29532 Southfield Rd Ste 115, Southfield, MI 48076. The listed phone number is (313) 284-2858.
What is Detroit Integrated Care's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Detroit Integrated Care enrolled in Medicare?
Yes. Detroit Integrated Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Detroit Integrated Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns their Medicare billing to Detroit Integrated Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Detroit Integrated Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2349921) is associated with this NPI, valid through August 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Detroit Integrated Care accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Detroit Integrated Care 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 Detroit Integrated Care was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Detroit Integrated Care · NPI 1104706175
Addiction Medicine organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since September 2, 2025.
## Identity
- **NPI:** 1104706175 (Entity type: Organization)
- **Enumerated:** September 2, 2025
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Alexis Skuras, DIRECTOR
## Practice location
- **Address:** 29532 SOUTHFIELD RD STE 115, Southfield, MI 48076-2023
- **Phone:** (313) 284-2858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104706175) · Data from the CMS NPPES public registry.