MICHIGAN WOMEN'S CARE, PLLC
NPI 1174630115
Obstetrics & Gynecology in Canton, MI
About Michigan Women's Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN WOMEN'S CARE, PLLC (NPI 1174630115) is a healthcare organization registered as an obstetrics & gynecology in Canton, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Essam Khraizat, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan Women's Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Michigan Women's Care, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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
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 23D1058825
Michigan Women's Care PLLC · Canton, 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 Michigan Women's Care, PLLC's NPI number?
The NPI number for Michigan Women's Care, PLLC is 1174630115. It was assigned to this organization in the NPPES registry on August 24, 2006.
Where is Michigan Women's Care, PLLC located?
Michigan Women's Care, PLLC is located at 6300 N Haggerty Rd Ste 200, Canton, MI 48187. The listed phone number is (734) 981-8181.
What is Michigan Women's Care, PLLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Michigan Women's Care, PLLC enrolled in Medicare?
Yes. Michigan Women's Care, PLLC is registered in the Medicare PECOS enrollment system.
When is Michigan Women's Care, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Michigan Women's Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Michigan Women's 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michigan Women's Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1058825) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Michigan Women's 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 Michigan Women's 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 Michigan Women's Care, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michigan Women's Care, Pllc · NPI 1174630115
Obstetrics & Gynecology organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1174630115 (Entity type: Organization)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Essam Khraizat, MEDICAL DIRECTOR
## Practice location
- **Address:** 6300 N HAGGERTY RD STE 200, Canton, MI 48187-4472
- **Phone:** (734) 981-8181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174630115) · Data from the CMS NPPES public registry.