PRIME FAMILY CARE LLC
NPI 1164200267
Clinic/Center - Urgent Care in Dearborn, MI
About Prime Family Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME FAMILY CARE LLC (NPI 1164200267) is a healthcare organization registered as an urgent care in Dearborn, Michigan and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Ali Hijazi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Prime Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prime Family Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 23D2297726
Prime Family Care LLC · Dearborn, MICertificate of Waiver 23D2325398
Prime Family Care LLC · Dearborn, 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 Prime Family Care LLC's NPI number?
The NPI number for Prime Family Care LLC is 1164200267. It was assigned to this organization in the NPPES registry on September 19, 2023.
Where is Prime Family Care LLC located?
Prime Family Care LLC is located at 15301 Tireman Ave Ste B, Dearborn, MI 48126. The listed phone number is (313) 358-6586.
What is Prime Family Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Prime Family Care LLC enrolled in Medicare?
Yes. Prime Family Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Family Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prime Family Care LLC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prime Family Care LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Prime Family Care LLC 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 and 1 other insurer list Prime Family Care LLC 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 Prime Family Care LLC was last updated on September 19, 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.
# Prime Family Care Llc · NPI 1164200267
Urgent Care organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since September 19, 2023.
## Identity
- **NPI:** 1164200267 (Entity type: Organization)
- **Enumerated:** September 19, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ali Hijazi, OWNER
## Practice location
- **Address:** 15301 TIREMAN AVE STE B, Dearborn, MI 48126-1045
- **Phone:** (313) 358-6586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164200267) · Data from the CMS NPPES public registry.