BOTSFORD PRIMARY CARE PHYSICIANS
NPI 1114935566
Family Medicine in Dearborn Heights, MI
About Botsford Primary Care Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOTSFORD PRIMARY CARE PHYSICIANS (NPI 1114935566) is a healthcare organization registered as a family medicine in Dearborn Heights, Michigan and active in the NPI registry since August 2006. The organization lists Nancy Susick, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Botsford Primary Care Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Botsford Primary Care Physicians, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (10)
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 Botsford General Hospital's NPI number?
The NPI number for Botsford General Hospital is 1114935566. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as Botsford Primary Care Physicians.
Where is Botsford General Hospital located?
Botsford General Hospital is located at 27031 W Warren St, Dearborn Heights, MI 48127. The listed phone number is (313) 274-3320.
What is Botsford General Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Botsford General Hospital enrolled in Medicare?
Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.
When is Botsford General Hospital'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 January 31, 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 Botsford General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Botsford General Hospital. 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. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Botsford General Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Botsford General Hospital 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 Botsford General Hospital was last updated on May 16, 2023. 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.
# Botsford Primary Care Physicians · NPI 1114935566
Family Medicine organization in Dearborn Heights, Michigan. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1114935566 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Botsford General Hospital
- **Organization subpart:** Yes (part of Botsford General Hospital)
- **Authorized official:** Nancy Susick, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 27031 W WARREN ST, Dearborn Heights, MI 48127-1901
- **Phone:** (313) 274-3320 · **Fax:** (313) 730-9222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians (Pediatric Medicine) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
- **Other identifiers:** Other 160F371160 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1114935566) · Data from the CMS NPPES public registry.