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MICHIGAN MOONLIGHTERS PLLC
NPI 1174178420
Internal Medicine in Pontiac, MI

Active since August 05, 2019
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000(248) 627-8884 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michigan Moonlighters Pllc NPPES

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

MICHIGAN MOONLIGHTERS PLLC (NPI 1174178420) is a healthcare organization registered as an internal medicine in Pontiac, Michigan and active in the NPI registry since August 2019. The organization lists Rajinder Grewal, President, as its authorized official.

NPPES Registry Identity

NPI1174178420
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMICHIGAN MOONLIGHTERS PLLC
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address3700 Piccadilly DrRochester Hills, MI 48309-4536 · (248) 627-8881 · Fax (248) 627-8884
Phone(248) 858-3000
Fax(248) 627-8884
Organization SubpartNo
Authorized OfficialRajinder GrewalPresident · (248) 627-8881
Enumeration DateAugust 5, 2019
✔ NPI 1174178420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
44405 WOODWARD AVE, Pontiac, MI 48341
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Michigan Moonlighters Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michigan Moonlighters PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rajinder Grewal
Internal Medicine
NPI 1437327350
44405 WOODWARD AVE
Pontiac, MI 48341
(248) 858-3000
✔ PECOS✔ Accepts MedicareSame address

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 Michigan Moonlighters PLLC's NPI number?

The NPI number for Michigan Moonlighters PLLC is 1174178420. It was assigned to this organization in the NPPES registry on August 5, 2019.

Where is Michigan Moonlighters PLLC located?

Michigan Moonlighters PLLC is located at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-3000.

What is Michigan Moonlighters PLLC's specialty?

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

Is Michigan Moonlighters PLLC enrolled in Medicare?

Yes. Michigan Moonlighters PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Moonlighters PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Michigan Moonlighters 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Moonlighters PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Moonlighters 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 Michigan Moonlighters PLLC was last updated on August 5, 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.