ST. MICHAEL'S INTERNAL MEDICINE PHYSICIANS, PLLC
NPI 1205318722
Internal Medicine in West Bloomfield, MI
About St. Michael's Internal Medicine Physicians, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. MICHAEL'S INTERNAL MEDICINE PHYSICIANS, PLLC (NPI 1205318722) is a healthcare organization registered as an internal medicine in West Bloomfield, Michigan and active in the NPI registry since August 2018. The organization lists Revark Kammo, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
St. Michael's Internal Medicine Physicians, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to St. Michael's Internal Medicine Physicians, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 St. Michael's Internal Medicine Physicians, PLLC's NPI number?
The NPI number for St. Michael's Internal Medicine Physicians, PLLC is 1205318722. It was assigned to this organization in the NPPES registry on August 30, 2018.
Where is St. Michael's Internal Medicine Physicians, PLLC located?
St. Michael's Internal Medicine Physicians, PLLC is located at 4448 Forestview Dr, West Bloomfield, MI 48322. The listed phone number is (248) 217-8405.
What is St. Michael's Internal Medicine Physicians, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St. Michael's Internal Medicine Physicians, PLLC enrolled in Medicare?
Yes. St. Michael's Internal Medicine Physicians, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Michael's Internal Medicine Physicians, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to St. Michael's Internal Medicine Physicians, 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. The largest specialties are Internal Medicine (5) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St. Michael's Internal Medicine Physicians, 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 St. Michael's Internal Medicine Physicians, 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 St. Michael's Internal Medicine Physicians, PLLC was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# St. Michael's Internal Medicine Physicians, Pllc · NPI 1205318722
Internal Medicine organization in West Bloomfield, Michigan. Organization record, active in the CMS NPPES registry since August 30, 2018.
## Identity
- **NPI:** 1205318722 (Entity type: Organization)
- **Enumerated:** August 30, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Revark Kammo, OWNER/PHYSICIAN
## Practice location
- **Address:** 4448 FORESTVIEW DR, West Bloomfield, MI 48322-4507
- **Phone:** (248) 217-8405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205318722) · Data from the CMS NPPES public registry.