JUNCTION CLINIC
NPI 1285813154
Family Medicine in Detroit, MI

Active since October 29, 2007CLIA 23D2285224 · Waiver
4771 MICHIGAN AVE, DETROIT, MI 48210(313) 897-2600(313) 897-2424 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Junction Clinic NPPES

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

JUNCTION CLINIC (NPI 1285813154) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jerry Uzansky, Doctor, as its authorized official.

NPPES Registry Identity

NPI1285813154
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJUNCTION CLINIC
Location Address4771 MICHIGAN AVEDetroit, MI 48210-3247
Mailing Address4771 Michigan AveDetroit, MI 48210-3247 · (313) 897-2600 · Fax (313) 897-2424
Fax(313) 897-2424
Organization SubpartNo
Authorized OfficialJerry UzanskyDoctor · (313) 897-2600
Enumeration DateOctober 29, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1285813154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · GU005238
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.
4771 MICHIGAN AVE, Detroit, MI 48210

Other Identifiers 6

Other0P01030MI · Medicare Group Number
Medicare UPINE25945MI
Other0258220204MI · Bcbs Number
Other1477523892MI · Npi Individual Number
Medicaid1117993MI
Medicare PIN5822020MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Junction Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Junction Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1164492500
4771 MICHIGAN AVE
Detroit, MI 48210
(313) 897-2600
✔ PECOSSame address
Internal Medicine
NPI 1225215569
23077 GREENFIELD RD SUITE 240
Southfield, MI 48075
(248) 809-6402
✔ PECOS✔ Accepts Medicare10 mi

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 23D2285224

Junction Clinic Health Center PLLC · Detroit, MI
Active · expires Jul 9, 2027
CLIA Number23D2285224
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorRatna Pasupulati
Laboratory Phone(313) 207-5767
Laboratory LocationJunction Clinic Health Center PLLC4771 Michigan Avenue, Detroit, MI 48210
CLIA data matches this NPI record on: Address Name
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 Junction Clinic's NPI number?

The NPI number for Junction Clinic is 1285813154. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Junction Clinic located?

Junction Clinic is located at 4771 Michigan Ave, Detroit, MI 48210. The listed phone number is (313) 897-2600.

What is Junction Clinic's specialty?

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

Is Junction Clinic enrolled in Medicare?

Yes. Junction Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Junction Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Junction Clinic, in Family Practice and Internal Medicine. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Junction Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2285224) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Junction Clinic was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.