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MICHIGAN SPORTS MEDICINE PC
NPI 1326481623
Family Medicine - Sports Medicine in Dearborn Heights, MI

Active since April 17, 2013CLIA 23D2068604 · Waiver
23902 FORD RD, SUITE A, DEARBORN HEIGHTS, MI 48127(313) 562-4700(313) 562-4701 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Sports Medicine Pc NPPES

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

MICHIGAN SPORTS MEDICINE PC (NPI 1326481623) is a healthcare organization registered as a sports medicine in Dearborn Heights, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Tarek Hadla, Md, as its authorized official.

NPPES Registry Identity

NPI1326481623
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameMICHIGAN SPORTS MEDICINE PC
Location Address23902 FORD RD, SUITE ADearborn Heights, MI 48127-3246
Mailing Address23902 Ford Rd, Suite ADearborn Heights, MI 48127-3246 · (313) 562-4700 · Fax (313) 562-4701
Phone(313) 562-4700
Fax(313) 562-4701
Organization SubpartNo
Authorized OfficialTarek HadlaMd · (313) 562-4700
Enumeration DateApril 17, 2013
Last NPPES UpdateMay 15, 2015
✔ NPI 1326481623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MI · 4301065806
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 4301095806 (MI)
23902 FORD RD, Dearborn Heights, MI 48127
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Other Identifiers 6

Medicaid1326481623MI
Other0H28306MI · Bcn Grp
Other0H28306MI · Bcbs Grp
OtherDU1788MI · Railroad Medicare
Other6986550001MI · Medicare Dme
Medicare PINMI6918MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.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 23D2068604

Michigan Sports Medicine, PC · Dearborn Heights, MI
Active · expires Nov 6, 2027
CLIA Number23D2068604
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorHadla Tarek
Laboratory Phone(313) 354-3544
Laboratory LocationMichigan Sports Medicine, PC23902 Ford Road, Dearborn Heights, MI 48127
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AMIRA MEDICAL STAFFING
In Home Supportive Care
23902 FORD RD, SUITE B
DEARBORN HEIGHTS, MI 48127
Wayne County (313) 730-5003

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 Michigan Sports Medicine PC's NPI number?

The NPI number for Michigan Sports Medicine PC is 1326481623. It was assigned to this organization in the NPPES registry on April 17, 2013.

Where is Michigan Sports Medicine PC located?

Michigan Sports Medicine PC is located at 23902 Ford Rd Suite A, Dearborn Heights, MI 48127. The listed phone number is (313) 562-4700.

What is Michigan Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Michigan Sports Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2068604) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Sports Medicine PC accept?

Health plans from Blue Care Network of Michigan list Michigan Sports Medicine PC 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 Michigan Sports Medicine PC was last updated on May 15, 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.