MICHIGAN PRIMARY CARE CENTER PC
NPI 1205312428
Internal Medicine in Dearborn Heights, MI

Q: What is Michigan Primary Care Center PC's NPI number?

The NPI number for Michigan Primary Care Center PC is 1205312428. It was assigned to this organization in the NPPES registry on July 11, 2018.

Q: What is Michigan Primary Care Center PC's specialty?

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

Active since July 11, 2018CLIA 23D2178545 · Waiver

27250 CHERRY HILL RD, DEARBORN HEIGHTS, MI 48127(313) 406-2222(313) 908-2687 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2023, Aug 29, 2018, Jul 11, 2018 (3 updates tracked since 2018).

On this page

About Michigan Primary Care Center Pc NPPES

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

MICHIGAN PRIMARY CARE CENTER PC (NPI 1205312428) is a healthcare organization registered as an internal medicine in Dearborn Heights, Michigan and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Rodwan Fadlallah, President, as its authorized official.

NPPES Registry Identity

NPI1205312428

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMICHIGAN PRIMARY CARE CENTER PC

Location Address27250 CHERRY HILL RDDearborn Heights, MI 48127-3677

Mailing Address27250 Cherry Hill RdDearborn Heights, MI 48127-3677 · (313) 406-2222

Phone(313) 406-2222

Fax(313) 908-2687

Organization SubpartNo

Authorized OfficialRodwan FadlallahPresident · (313) 406-2222

Enumeration DateJuly 11, 2018

Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1205312428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301103085

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.

Also ListedPediatricsTaxonomy 208000000X

27250 CHERRY HILL RD, Dearborn Heights, MI 48127

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

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 Primary Care Center Pc 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 Primary Care Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rodwan Fadlallah, M.D.

Internal Medicine

NPI 1255772604

27250 CHERRY HILL RD
Dearborn Heights, MI 48127

(313) 406-2222

✔ 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.

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 23D2178545

Michigan Primary Care Center PC · Dearborn Heights, MI

Active · expires Feb 4, 2028

CLIA Number23D2178545

Laboratory TypePhysician Office

Certificate Effective DateFebruary 5, 2026

Certificate Expiration DateFebruary 4, 2028

Laboratory DirectorRodwan Fadlallah

Laboratory Phone(313) 406-2222

Laboratory LocationMichigan Primary Care Center PC27250 Cherry Hill Road, Dearborn Heights, MI 48127

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 Michigan Primary Care Center PC's NPI number?

The NPI number for Michigan Primary Care Center PC is 1205312428. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Michigan Primary Care Center PC located?

Michigan Primary Care Center PC is located at 27250 Cherry Hill Rd, Dearborn Heights, MI 48127. The listed phone number is (313) 406-2222.

What is Michigan Primary Care Center PC's specialty?

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

Is Michigan Primary Care Center PC enrolled in Medicare?

Yes. Michigan Primary Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Primary Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Michigan Primary Care Center 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.

Does Michigan Primary Care Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2178545) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Primary Care Center PC 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 Primary Care Center 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 Michigan Primary Care Center PC was last updated on February 22, 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.