DOWNRIVER CLINIC PC
NPI 1205073285
Internal Medicine in Grosse Ile, MI
About Downriver Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOWNRIVER CLINIC PC (NPI 1205073285) is a healthcare organization registered as an internal medicine in Grosse Ile, Michigan and active in the NPI registry since January 2009. The organization lists Mounir Khaled, Owner Medical Director Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
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)
Downriver Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Downriver Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Downriver Clinic PC's NPI number?
The NPI number for Downriver Clinic PC is 1205073285. It was assigned to this organization in the NPPES registry on January 14, 2009.
Where is Downriver Clinic PC located?
Downriver Clinic PC is located at 8944 Macomb St, Grosse Ile, MI 48138. The listed phone number is (734) 675-0705.
What is Downriver Clinic PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Downriver Clinic PC enrolled in Medicare?
Yes. Downriver Clinic PC is registered in the Medicare PECOS enrollment system.
When is Downriver Clinic PC'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 February 28, 2027. 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 Downriver Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Downriver Clinic PC. 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 Downriver Clinic PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health and 1 other insurer list Downriver Clinic PC 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 Downriver Clinic PC was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Downriver Clinic Pc · NPI 1205073285
Internal Medicine organization in Grosse Ile, Michigan. Organization record, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1205073285 (Entity type: Organization)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mounir Khaled, OWNER MEDICAL DIRECTOR PHYSICIAN
## Practice location
- **Address:** 8944 MACOMB ST, Grosse Ile, MI 48138-2089
- **Phone:** (734) 675-0705 · **Fax:** (734) 675-0747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2010
- **Other identifiers:** Other 259686 (MI); Other 614738100 (MI); Other 110H242960 (MI); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205073285) · Data from the CMS NPPES public registry.