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BERKLEY PRIMARY CARE, PLC
NPI 1316082399
Internal Medicine in Huntington Woods, MI

Active since February 20, 2007CLIA 23D1005184 · Waiver
26711 WOODWARD AVE STE 103, HUNTINGTON WOODS, MI 48070(248) 543-6000(248) 543-3770 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berkley Primary Care, Plc NPPES

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

BERKLEY PRIMARY CARE, PLC (NPI 1316082399) is a healthcare organization registered as an internal medicine in Huntington Woods, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Terry S Vacheresse, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316082399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBERKLEY PRIMARY CARE, PLC
Location Address26711 WOODWARD AVE STE 103Huntington Woods, MI 48070-1367
Mailing Address26711 Woodward Ave Ste 103Huntington Woods, MI 48070-1367 · (248) 543-6000 · Fax (248) 543-3770
Phone(248) 543-6000
Fax(248) 543-3770
Organization SubpartNo
Authorized OfficialTerry S VacheresseOffice Manager · (248) 543-6000
Enumeration DateFebruary 20, 2007
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1316082399 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 ListedPediatricsTaxonomy 208000000X
26711 WOODWARD AVE STE 103, Huntington Woods, MI 48070
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Other Identifiers 1

Medicare ID-Type Unspecified0N56290MI

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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D1005184

Berkley Primare Care, Plc · Huntington Woods, MI
Active · expires Oct 15, 2026
CLIA Number23D1005184
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorKaren Swanson
Laboratory Phone(248) 543-6000
Laboratory LocationBerkley Primare Care, Plc26711 Woodward, Suite 103, Huntington Woods, MI 48070
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHLEEN O'NEILL NP
Nurse Practitioner (Adult Health)
26711 WOODWARD AVE STE 103
HUNTINGTON WOODS, MI 48070
Oakland County (248) 543-6000
LISA ANNE FULGENZI MD
Internal Medicine
26711 WOODWARD AVE STE 103
HUNTINGTON WOODS, MI 48070
Oakland County (248) 543-6000

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 Berkley Primary Care, Plc's NPI number?

The NPI number for Berkley Primary Care, Plc is 1316082399. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Berkley Primary Care, Plc located?

Berkley Primary Care, Plc is located at 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070. The listed phone number is (248) 543-6000.

What is Berkley Primary Care, Plc's specialty?

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

Does Berkley Primary Care, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1005184) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Berkley Primary Care, Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Berkley Primary Care, Plc 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 Berkley Primary Care, Plc was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.