LOON LAKE PRIMARY CARE
NPI 1326890666
Family Medicine in Wixom, MI

Q: What is Papnez PLLC's NPI number?

The NPI number for Papnez PLLC is 1326890666. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Loon Lake Primary Care.

Q: What is Papnez PLLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Papnez PLLC was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 02, 2024CLIA 23D2318853 · Waiver

1545 N WIXOM RD, WIXOM, MI 48393(248) 833-6343(248) 833-6343 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2024, Apr 2, 2024 (2 updates tracked since 2024).

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About Loon Lake Primary Care NPPES

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

LOON LAKE PRIMARY CARE (NPI 1326890666) is a healthcare organization registered as a family medicine in Wixom, Michigan and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Paul S Shabou, Owner, as its authorized official.

NPPES Registry Identity

NPI1326890666

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePAPNEZ PLLC

Location Address1545 N WIXOM RDWixom, MI 48393-1411

Mailing Address1545 N Wixom RdWixom, MI 48393-1411 · (248) 833-6343 · Fax (248) 833-6343

Phone(248) 833-6343

Fax(248) 833-6343

Organization SubpartNo

Authorized OfficialPaul S ShabouOwner · (248) 833-6343

Enumeration DateApril 2, 2024

Last NPPES UpdateMay 24, 20242 updates tracked since enumeration

NPPES CertifiedMay 24, 2024

✔ NPI 1326890666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedInternal MedicineTaxonomy 207R00000X

1545 N WIXOM RD, Wixom, MI 48393

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Other Names 1

Doing Business AsLoon Lake Primary Care

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 Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Loon Lake Primary Care 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 Loon Lake Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Shabou, MD

Family Practice

NPI 1346818846

1545 N WIXOM RD
Wixom, MI 48393

(248) 833-6343

✔ PECOS✔ Accepts MedicareSame address

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 23D2318853

Loon Lake Primary Care · Wixom, MI

Active · expires Feb 18, 2027

CLIA Number23D2318853

Laboratory TypePhysician Office

Certificate Effective DateFebruary 19, 2025

Certificate Expiration DateFebruary 18, 2027

Laboratory DirectorPaul Shabou

Laboratory Phone(248) 833-6343

Laboratory LocationLoon Lake Primary Care1545 N Wixom Road, Wixom, MI 48393

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Papnez PLLC's NPI number?

The NPI number for Papnez PLLC is 1326890666. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Loon Lake Primary Care.

Where is Papnez PLLC located?

Papnez PLLC is located at 1545 N Wixom Rd, Wixom, MI 48393. The listed phone number is (248) 833-6343.

What is Papnez PLLC's specialty?

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

Is Papnez PLLC enrolled in Medicare?

Yes. Papnez PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Papnez PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Papnez 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Papnez PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2318853) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Papnez PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Papnez 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 Papnez PLLC was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.