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INTERNAL MEDICINE OF DEARBORN
NPI 1164846739
Internal Medicine in Dearborn, MI

Active since February 18, 2014CLIA 23D0964105 · Waiver
831 MONROE ST, DEARBORN, MI 48124(313) 565-8950(313) 769-5931 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Internal Medicine Of Dearborn NPPES

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

INTERNAL MEDICINE OF DEARBORN (NPI 1164846739) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Shabana Khan, Doctor, as its authorized official.

NPPES Registry Identity

NPI1164846739
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF DEARBORN
Location Address831 MONROE STDearborn, MI 48124-2308
Mailing Address831 Monroe StDearborn, MI 48124-2308 · (313) 565-8950 · Fax (313) 769-5931
Phone(313) 565-8950
Fax(313) 769-5931
Organization SubpartNo
Authorized OfficialShabana KhanDoctor · (313) 565-8950
Enumeration DateFebruary 18, 2014
Last NPPES UpdateAugust 4, 2014
✔ NPI 1164846739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301046990
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
831 MONROE ST, Dearborn, MI 48124
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Other Identifiers 3

Medicaid1164846739MI
Medicare PINM17689002MI
Medicare PINM17689001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 23D0964105

Internal Medicine Of Dearborn · Dearborn, MI
Active · expires Aug 18, 2027
CLIA Number23D0964105
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorShabana Khan
Laboratory Phone(313) 565-8950
Laboratory LocationInternal Medicine Of Dearborn831 Monroe, Dearborn, MI 48124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine Of Dearborn's NPI number?

The NPI number for Internal Medicine Of Dearborn is 1164846739. It was assigned to this organization in the NPPES registry on February 18, 2014.

Where is Internal Medicine Of Dearborn located?

Internal Medicine Of Dearborn is located at 831 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 565-8950.

What is Internal Medicine Of Dearborn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Internal Medicine Of Dearborn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0964105) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine Of Dearborn 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 Internal Medicine Of Dearborn 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 Internal Medicine Of Dearborn was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.