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IHA OOMA PRIMARY LLC
NPI 1255006706
Internal Medicine in Waterford, MI

Active since August 16, 2021
4400 HIGHLAND RD, WATERFORD, MI 48328(248) 618-6000(248) 618-6951 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2026, Aug 16, 2021 (2 updates tracked since 2021).

About Iha Ooma Primary Llc NPPES

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

IHA OOMA PRIMARY LLC (NPI 1255006706), doing business as Iha Waterford Primary Care, is a healthcare organization registered as an internal medicine in Waterford, Michigan and active in the NPI registry since August 2021. The organization lists Cynthia A Elliott, Chief Operating Officer / President, as its authorized official.

NPPES Registry Identity

NPI1255006706
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIHA OOMA PRIMARY LLC
Location Address4400 HIGHLAND RDWaterford, MI 48328-1222
Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484
Phone(248) 618-6000
Fax(248) 618-6951
Organization SubpartNo
Authorized OfficialCynthia A ElliottChief Operating Officer / President · (734) 327-0872
Enumeration DateAugust 16, 2021
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1255006706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedFamily MedicineTaxonomy 207Q00000X
4400 HIGHLAND RD, Waterford, MI 48328
Open in Google Maps ↗

Other Names 1

Doing Business AsIha Waterford Primary Care

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Iha Ooma Primary Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to Iha Ooma Primary LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice30
Internal Medicine21
Nurse Practitioner4
Pediatric Medicine1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 57
Leslie Caren, M.D.
Internal Medicine
NPI 1649288960
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Paunel Grivej, MD
Internal Medicine
NPI 1215986682
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Elyse Hewitt, D.O.
Internal Medicine
NPI 1083006407
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Hadeel Razook, M.D.
Family Practice
NPI 1336119437
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Syeda Salari, MD
Internal Medicine
NPI 1407506686
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Shibani Tipnis, MSN, FNP-C
Nurse Practitioner
NPI 1497325476
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Daniel Warden, M.D.
Family Practice
NPI 1710428016
4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts MedicareSame address
Derek Foster, D.O
Family Practice
NPI 1508493982
IHA WATERFORD PRIMARY CARE 4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts Medicare1.1 mi
Vincent Hannosh, MD
Family Practice
NPI 1861028821
IHA WATERFORD PRIMARY 4400 HIGHLAND RD
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts Medicare1.1 mi
Brenda Pope, RN, MSN, FNP-BC
Nurse Practitioner
NPI 1568519593
IHA WATERFORD PRIMARY CARE 4400 HIGHLAND RD, SUITE 100
Waterford, MI 48328
(248) 618-6000
✔ PECOS✔ Accepts Medicare1.1 mi
Laura Sychta, N.P.
Nurse Practitioner
NPI 1548571862
5784 HIGHLAND RD
Waterford, MI 48327
(248) 673-6667
✔ PECOS✔ Accepts Medicare1.4 mi
Tatyanna Coleman, CNP
Nurse Practitioner
NPI 1427178250
5789 S MAIN ST
Clarkston, MI 48346
(248) 625-0030
✔ PECOS✔ Accepts Medicare5.2 mi
David Mcnaughton, M.D.
Family Practice
NPI 1568843142
6770 DIXIE HWY STE 303
Clarkston, MI 48346
(248) 625-0030
✔ PECOS✔ Accepts Medicare5.2 mi
Michael Scarchilli, DO
Family Practice
NPI 1760944037
IHA CLARKSTON PRIMARY CARE 6770 DIXIE HIGHWAY SUITE 303
Clinton Twp, MI 48346
(248) 625-0030
✔ PECOS✔ Accepts Medicare5.3 mi
Bradford Woelke, MD
Family Practice
NPI 1184121824
IHA CLARKSTON PRIMARY CARE 6770 DIXIE HIGHWAY SUITE 303
Clarston, MI 48346
(248) 625-0300
✔ PECOS✔ Accepts Medicare5.3 mi
Michael Krivitsky, D.O.
Internal Medicine
NPI 1710986955
44405 WOODWARD AVE ST JOSEPH MERCY HOSPITAL
Pontiac, MI 48351
(248) 333-7063
✔ PECOS✔ Accepts Medicare5.7 mi
Anupam Sule, M.D., PH.D.
Internal Medicine
NPI 1699087296
44405 WOODWARD AVE
Pontiac, MI 48341
(248) 858-6281
✔ PECOS✔ Accepts Medicare5.7 mi
Benjamin Diaczok, MD
Internal Medicine
NPI 1760480834
44428 WOODWARD AVE STE 102
Pontiac, MI 48341
(248) 858-3126
✔ PECOS✔ Accepts Medicare5.8 mi
Geetha Krishnamoorthy, MD
Internal Medicine
NPI 1790723625
44428 WOODWARD AVE STE 102
Pontiac, MI 48341
(248) 858-3126
✔ PECOS✔ Accepts Medicare5.8 mi
Kathryn Rice, M.D.
Pediatric Medicine
NPI 1245684190
1375 S LAPEER RD STE 210
Lake Orion, MI 48360
(248) 693-5700
✔ PECOS✔ Accepts Medicare10.0 mi
See all 57 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 Iha Ooma Primary LLC's NPI number?

The NPI number for Iha Ooma Primary LLC is 1255006706. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as IHA Waterford Primary Care.

Where is Iha Ooma Primary LLC located?

Iha Ooma Primary LLC is located at 4400 Highland Rd, Waterford, MI 48328. The listed phone number is (248) 618-6000.

What is Iha Ooma Primary LLC's specialty?

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

Is Iha Ooma Primary LLC enrolled in Medicare?

Yes. Iha Ooma Primary LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iha Ooma Primary LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 5 Medicare specialties reassign their Medicare billing to Iha Ooma Primary LLC. 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 Family Practice (30), Internal Medicine (21) and Nurse Practitioner (4). Of these, 7 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Iha Ooma Primary LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Iha Ooma Primary LLC 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 Iha Ooma Primary LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.