CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C.
NPI 1154350890
Internal Medicine - Cardiovascular Disease in Roseville, MI
About Cardiovascular Institute Of Michigan, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C. (NPI 1154350890) is a healthcare organization registered as a cardiovascular disease in Roseville, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Mohamad K Ajjour, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
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)
Cardiovascular Institute Of Michigan, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Cardiovascular Institute Of Michigan, P.C., which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
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 23D1028314
Cardiovascular Institute Of Michigan PC · Roseville, 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 Cardiovascular Institute Of Michigan, P.C.'s NPI number?
The NPI number for Cardiovascular Institute Of Michigan, P.C. is 1154350890. It was assigned to this organization in the NPPES registry on July 3, 2006.
Where is Cardiovascular Institute Of Michigan, P.C. located?
Cardiovascular Institute Of Michigan, P.C. is located at 18303 E 10 Mile Rd Suite 100, Roseville, MI 48066. The listed phone number is (586) 776-8877.
What is Cardiovascular Institute Of Michigan, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Cardiovascular Institute Of Michigan, P.C. enrolled in Medicare?
Yes. Cardiovascular Institute Of Michigan, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cardiovascular Institute Of Michigan, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Cardiovascular Institute Of Michigan, P.C.. 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 Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (4) and Cardiac Electrophysiology (1). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cardiovascular Institute Of Michigan, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1028314) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cardiovascular Institute Of Michigan, P.C. 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 Cardiovascular Institute Of Michigan, P.C. 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 Cardiovascular Institute Of Michigan, P.C. was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Cardiovascular Institute Of Michigan, P.c. · NPI 1154350890
Cardiovascular Disease organization in Roseville, Michigan. Organization record, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1154350890 (Entity type: Organization)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Mohamad Ajjour, ADMINISTRATOR
## Practice location
- **Address:** 18303 E 10 MILE RD, SUITE 100, Roseville, MI 48066-4988
- **Phone:** (586) 776-8877 · **Fax:** (586) 776-3092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (8), Nurse Practitioner (4), Cardiac Electrophysiology (1); 14 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2011
- **Other identifiers:** Other CD6196 (MI); Medicare PIN 0M25330 (MI); Other M018365 (MI); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154350890) · Data from the CMS NPPES public registry.