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SOUTHFIELD FAMILY PRACTICE PLLC
NPI 1306195730
Family Medicine in Southfield, MI

Active since August 30, 2012
22972 LAHSER ROAD, SOUTHFIELD, MI 48033(248) 353-4777(248) 353-4235 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southfield Family Practice Pllc NPPES

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

SOUTHFIELD FAMILY PRACTICE PLLC (NPI 1306195730) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since August 2012. The organization lists Mutahhar Ahmad, President, as its authorized official.

NPPES Registry Identity

NPI1306195730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHFIELD FAMILY PRACTICE PLLC
Location Address22972 LAHSER ROADSouthfield, MI 48033
Mailing Address22972 Lahser RoadSouthfield, MI 48033 · (248) 353-4777 · Fax (248) 353-4235
Phone(248) 353-4777
Fax(248) 353-4235
Organization SubpartNo
Authorized OfficialMutahhar AhmadPresident · (248) 353-4777
Enumeration DateAugust 30, 2012
✔ NPI 1306195730 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 · 4301065663
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.
22972 LAHSER ROAD, Southfield, MI 48033
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Southfield Family Practice Pllc 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 Southfield Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mutahhar Ahmad, MD
Family Practice
NPI 1134168388
22972 LAHSER RD
Southfield, MI 48033
(248) 840-7480
✔ PECOS✔ Accepts MedicareSame address
Kermit White, M.D.
Family Practice
NPI 1528045903
28430 HERNDONWOOD DRIVE
Farmington Hills, MI 48334
(248) 504-9723
✔ PECOS✔ Accepts Medicare4.2 mi

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 Southfield Family Practice PLLC's NPI number?

The NPI number for Southfield Family Practice PLLC is 1306195730. It was assigned to this organization in the NPPES registry on August 30, 2012.

Where is Southfield Family Practice PLLC located?

Southfield Family Practice PLLC is located at 22972 Lahser Road, Southfield, MI 48033. The listed phone number is (248) 353-4777.

What is Southfield Family Practice PLLC's specialty?

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

Is Southfield Family Practice PLLC enrolled in Medicare?

Yes. Southfield Family Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southfield Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Southfield Family Practice 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southfield Family Practice 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 Southfield Family Practice 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 Southfield Family Practice PLLC was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.