FAMILY PRACTICE CARE PLLC
NPI 1306959374
General Practice in Roseville, MI

Active since August 16, 2006
25350 KELLY RD, ROSEVILLE, MI 48066(586) 773-8770(586) 773-0133 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Practice Care Pllc NPPES

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

FAMILY PRACTICE CARE PLLC (NPI 1306959374) is a healthcare organization registered as a general practice in Roseville, Michigan and active in the NPI registry since August 2006. The organization lists Mohamed Aslam Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1306959374
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAMILY PRACTICE CARE PLLC
Location Address25350 KELLY RDRoseville, MI 48066-4961
Mailing Address25350 Kelly RdRoseville, MI 48066-4961 · (586) 773-8770 · Fax (586) 773-0133
Fax(586) 773-0133
Organization SubpartNo
Authorized OfficialMohamed Aslam KhanOwner · (586) 773-8770
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306959374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
25350 KELLY RD, Roseville, MI 48066

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040510001554Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Practice Care PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1629157326
28351 SCHOENHERR RD
Warren, MI 48088
(586) 393-6500
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1962410977
28351 SCHOENHERR RD
Warren, MI 48088
(586) 393-6500
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1376265165
28351 SCHOENHERR RD
Warren, MI 48088
(586) 393-6500
✔ PECOS3.4 mi
Internal Medicine
NPI 1841292372
28351 SCHOENHERR RD
Warren, MI 48088
(586) 393-6500
✔ PECOS✔ Accepts Medicare3.4 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 Family Practice Care PLLC's NPI number?

The NPI number for Family Practice Care PLLC is 1306959374. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Family Practice Care PLLC located?

Family Practice Care PLLC is located at 25350 Kelly Rd, Roseville, MI 48066. The listed phone number is (586) 773-8770.

What is Family Practice Care PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Family Practice Care PLLC enrolled in Medicare?

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

When is Family Practice Care PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Practice Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Family Practice Care PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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, 4 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 Family Practice Care PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.