ALSAN MEDICAL CLINIC P.C.
NPI 1235352345
Family Medicine in Detroit, MI
About Alsan Medical Clinic P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALSAN MEDICAL CLINIC P.C. (NPI 1235352345) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 7, 2028 and lists Jacqueline Graham, Office Manager, 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)
Alsan Medical Clinic P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Alsan Medical Clinic P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 for Provider-Performed Microscopy Procedures (PPMP) 23D0711380
Alsan Medical Clinic PC · Detroit, 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 Alsan Medical Clinic P.C.'s NPI number?
The NPI number for Alsan Medical Clinic P.C. is 1235352345. It was assigned to this organization in the NPPES registry on April 10, 2007.
Where is Alsan Medical Clinic P.C. located?
Alsan Medical Clinic P.C. is located at 3130 Gratiot Ave, Detroit, MI 48207. The listed phone number is (313) 579-1860.
What is Alsan Medical Clinic P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alsan Medical Clinic P.C. enrolled in Medicare?
Yes. Alsan Medical Clinic P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alsan Medical Clinic P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Alsan Medical Clinic P.C.. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Alsan Medical Clinic P.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0711380) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Alsan Medical Clinic P.C. 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 Alsan Medical Clinic P.C. 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 Alsan Medical Clinic P.C. was last updated on May 26, 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.
# Alsan Medical Clinic P.c. · NPI 1235352345
Family Medicine organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1235352345 (Entity type: Organization)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jacqueline Graham, OFFICE MANAGER
## Practice location
- **Address:** 3130 GRATIOT AVE, Detroit, MI 48207-2283
- **Phone:** (313) 579-1860 · **Fax:** (313) 579-0017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235352345) · Data from the CMS NPPES public registry.