BERKLEY PRIMARY CARE, PLC
NPI 1316082399
Internal Medicine in Huntington Woods, MI
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, 2028 and lists Terry S Vacheresse, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted 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)
Berkley Primary Care, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Berkley Primary Care, Plc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Huntington Woods, MI 48070
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 23D1005184
Berkley Primare Care, Plc · Huntington Woods, MIFrequently 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.
Is Berkley Primary Care, Plc enrolled in Medicare?
Yes. Berkley Primary Care, Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Berkley Primary Care, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Berkley Primary Care, Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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.
# Berkley Primary Care, Plc · NPI 1316082399
Internal Medicine organization in Huntington Woods, Michigan. Organization record, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1316082399 (Entity type: Organization)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Terry Vacheresse, OFFICE MANAGER
## Practice location
- **Address:** 26711 WOODWARD AVE STE 103, Huntington Woods, MI 48070-1367
- **Phone:** (248) 543-6000 · **Fax:** (248) 543-3770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 0N56290 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316082399) · Data from the CMS NPPES public registry.