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OPDYKE MEDICAL, PLLC
NPI 1154664688
Clinic/Center - Multi-Specialty in Pontiac, MI

Active since April 03, 2013CLIA 23D0371880 · Waiver
3959 CENTERPOINT PKWY STE 100, PONTIAC, MI 48341(248) 333-2600(248) 333-3250 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2023, Mar 13, 2023, Oct 3, 2022 (3 updates tracked since 2022).

About Opdyke Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPDYKE MEDICAL, PLLC (NPI 1154664688) is a healthcare organization registered as a multi-specialty in Pontiac, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marie Therese Crum, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154664688
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameOPDYKE MEDICAL, PLLC
Location Address3959 CENTERPOINT PKWY STE 100Pontiac, MI 48341-3121
Mailing Address3959 Centerpoint Pkwy Ste 100Pontiac, MI 48341-3121 · (248) 333-2600 · Fax (248) 333-3250
Phone(248) 333-2600
Fax(248) 333-3250
Organization SubpartNo
Authorized OfficialMarie Therese CrumAdministrator · (248) 240-5699
Enumeration DateApril 3, 2013
Last NPPES UpdateApril 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1154664688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3959 CENTERPOINT PKWY STE 100, Pontiac, MI 48341
Open in Google Maps ↗

Other Identifiers 1

Medicaid2805350MI

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 23D0371880

Opdyke Medical, PLLC · Pontiac, MI
Active · expires Aug 31, 2026
CLIA Number23D0371880
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNada S. Beydoun
Laboratory Phone(248) 333-2600
Laboratory LocationOpdyke Medical, PLLC3959 Centerpoint Parkway Suite 100, Pontiac, MI 48341
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 3

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

ANDY LI FNP-C
Nurse Practitioner (Family)
3959 CENTERPOINT PKWY STE 100
PONTIAC, MI 48341
Oakland County (248) 333-2600
SARAH ELIZABETH COLE FNP-C
Nurse Practitioner (Family)
3959 CENTERPOINT PKWY STE 100
PONTIAC, MI 48341
Oakland County (248) 333-2600
NADA SAMIR BEYDOUN D.O
Internal Medicine
3959 CENTERPOINT PKWY STE 100
PONTIAC, MI 48341
Oakland County (248) 333-2600

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 Opdyke Medical, PLLC's NPI number?

The NPI number for Opdyke Medical, PLLC is 1154664688. It was assigned to this organization in the NPPES registry on April 3, 2013.

Where is Opdyke Medical, PLLC located?

Opdyke Medical, PLLC is located at 3959 Centerpoint Pkwy Ste 100, Pontiac, MI 48341. The listed phone number is (248) 333-2600.

What is Opdyke Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Opdyke Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0371880) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Opdyke Medical, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Opdyke Medical, 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 Opdyke Medical, PLLC was last updated on April 13, 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.