MMG 1PC
NPI 1205855186
Family Medicine in West Bloomfield, MI

Active since July 19, 2006
7419 MIDDLEBELT RD, SUITE 4, WEST BLOOMFIELD, MI 48322(248) 855-2291(248) 855-4901 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mmg 1pc NPPES

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

MMG 1PC (NPI 1205855186) is a healthcare organization registered as a family medicine in West Bloomfield, Michigan and active in the NPI registry since July 2006. The organization lists Geoffrey A Trivax, President, as its authorized official.

NPPES Registry Identity

NPI1205855186
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMMG 1PC
Location Address7419 MIDDLEBELT RD, SUITE 4West Bloomfield, MI 48322-4182
Mailing Address29992 Northwestern Hwy Ste CFarmington Hills, MI 48334-3292 · (248) 851-1430 · Fax (248) 851-5182
Fax(248) 855-4901
Organization SubpartNo
Authorized OfficialGeoffrey A TrivaxPresident · (313) 538-3099
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1205855186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
7419 MIDDLEBELT RD, West Bloomfield, MI 48322

Other Identifiers 1

Other700F321510MI · Blue Shield Group

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmg 1pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Mmg 1pc, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology13
Cardiovascular Disease (Cardiology)6
Interventional Cardiology3
Internal Medicine2
Interventional Radiology2
Physical Medicine and Rehabilitation2
Pulmonary Disease1

Nearest to this location (20)

See all 29
Interventional Cardiology
NPI 1619310885
32255 NORTHWESTERN HWY STE 115
Farmington Hills, MI 48334
(248) 587-2300
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1306836390
32255 NORTHWESTERN HWY STE 130
Farmington Hills, MI 48334
(248) 723-5880
✔ PECOS0.7 mi
Cardiovascular Disease (Cardiology)
NPI 1689812489
32255 NORTHWESTERN HWY STE 115
Farmington Hills, MI 48334
(248) 587-2300
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1992770986
32255 NORTHWESTERN HWY STE 100
Farmington Hills, MI 48334
(248) 945-0000
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1023218153
32255 NORTHWESTERN HWY STE 100
Farmington Hills, MI 48334
(248) 945-0000
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Cardiology
NPI 1689894867
32255 NORTHWESTERN HWY STE 50
Farmington Hills, MI 48334
(947) 227-8420
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1700198561
32255 NORTHWESTERN HWY STE 135
Farmington Hills, MI 48334
(947) 228-5500
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Radiology
NPI 1790990919
32255 NORTHWESTERN HWY STE 135
Farmington Hills, MI 48334
(947) 228-5500
✔ PECOS✔ Accepts Medicare0.7 mi
Cardiovascular Disease (Cardiology)
NPI 1205942182
26400 W 12 MILE RD SUITE 120
Southfield, MI 48034
(248) 304-3200
✔ PECOS2.6 mi
Cardiovascular Disease (Cardiology)
NPI 1396736179
32270 TELEGRAPH RD STE 100
Bingham Farms, MI 48025
(248) 258-2888
✔ PECOS✔ Accepts Medicare2.9 mi
Cardiovascular Disease (Cardiology)
NPI 1033367362
28625 NORTHWESTERN HWY SUITE 150
Southfield, MI 48034
(248) 587-2300
✔ PECOS✔ Accepts Medicare2.9 mi
Interventional Cardiology
NPI 1174566095
31500 TELEGRAPH RD SUITE 115
Bingham Farms, MI 48025
(248) 594-4913
✔ PECOS✔ Accepts Medicare2.9 mi
Diagnostic Radiology
NPI 1467522961
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(248) 471-8371
✔ PECOS✔ Accepts Medicare5.8 mi
Physical Medicine and Rehabilitation
NPI 1235127770
42350 GRAND RIVER AVE
Novi, MI 48375
(248) 697-2942
✔ PECOS✔ Accepts Medicare7.3 mi
Interventional Radiology
NPI 1821059049
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-6064
✔ PECOS✔ Accepts Medicare7.6 mi
Diagnostic Radiology
NPI 1467412221
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 551-6069
✔ PECOS✔ Accepts Medicare7.6 mi
Cardiovascular Disease (Cardiology)
NPI 1962865147
3601 W 13 MILE RD
Royal Oak, MI 48073
(313) 473-1000
✔ PECOS✔ Accepts Medicare7.6 mi
Diagnostic Radiology
NPI 1083674071
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 423-2481
✔ PECOS✔ Accepts Medicare7.7 mi
Diagnostic Radiology
NPI 1598794927
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-6064
✔ PECOS✔ Accepts Medicare7.7 mi
Cardiovascular Disease (Cardiology)
NPI 1962705004
22250 PROVIDENCE DR STE 705
Southfield, MI 48075
(248) 552-9858
✔ PECOS✔ Accepts Medicare8.5 mi
See all 29 clinicians

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 Mmg 1pc's NPI number?

The NPI number for Mmg 1pc is 1205855186. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Mmg 1pc located?

Mmg 1pc is located at 7419 Middlebelt Rd Suite 4, West Bloomfield, MI 48322. The listed phone number is (248) 855-2291.

What is Mmg 1pc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mmg 1pc enrolled in Medicare?

Yes. Mmg 1pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mmg 1pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to Mmg 1pc. 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 Diagnostic Radiology (13), Cardiovascular Disease (Cardiology) (6) and Interventional Cardiology (3). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mmg 1pc was last updated on September 20, 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.