MEADOWBROOK PRIMARY CARE, PLLC
NPI 1154712073
Nursing Care in Canton, MI

Active since February 13, 2015
2050 N HAGGERTY RD STE 260, CANTON, MI 48187(734) 892-2712(734) 892-2714 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2019, Feb 4, 2019, Apr 19, 2018 (3 updates tracked since 2018).

About Meadowbrook Primary Care, Pllc NPPES

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

MEADOWBROOK PRIMARY CARE, PLLC (NPI 1154712073) is a healthcare organization registered as a nursing care in Canton, Michigan and active in the NPI registry since February 2015. The organization lists Sarju Shah, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1154712073
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMEADOWBROOK PRIMARY CARE, PLLC
Location Address2050 N HAGGERTY RD STE 260Canton, MI 48187-3796
Mailing Address2050 N Haggerty Rd Ste 260Canton, MI 48187-3796 · (734) 892-2712 · Fax (734) 892-2714
Fax(734) 892-2714
Organization SubpartNo
Authorized OfficialSarju ShahOwner / President · (734) 892-2712
Enumeration DateFebruary 13, 2015
Last NPPES UpdateApril 18, 20193 updates tracked since enumeration
✔ NPI 1154712073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
2050 N HAGGERTY RD STE 260, Canton, MI 48187

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meadowbrook Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Meadowbrook Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1417483678
33155 ANNAPOLIS ST
Wayne, MI 48184
(734) 467-4000
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1366953473
29150 FORD RD
Garden City, MI 48135
(734) 762-3600
✔ PECOS✔ Accepts Medicare6.1 mi
Family Practice
NPI 1043690183
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7000
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1932319415
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-8659
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1609122084
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7000
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1013455922
50505 SCHOENHERR RD STE. 340
Shelby Township, MI 48315
(586) 731-8400
✔ PECOS33 mi

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 Meadowbrook Primary Care, PLLC's NPI number?

The NPI number for Meadowbrook Primary Care, PLLC is 1154712073. It was assigned to this organization in the NPPES registry on February 13, 2015.

Where is Meadowbrook Primary Care, PLLC located?

Meadowbrook Primary Care, PLLC is located at 2050 N Haggerty Rd Ste 260, Canton, MI 48187. The listed phone number is (734) 892-2712.

What is Meadowbrook Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Is Meadowbrook Primary Care, PLLC enrolled in Medicare?

Yes. Meadowbrook Primary Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meadowbrook Primary Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Meadowbrook Primary Care, PLLC. 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 Nurse Practitioner (3), Internal Medicine (2) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Meadowbrook Primary 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 Meadowbrook Primary 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 Meadowbrook Primary Care, PLLC was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.