PELHAM PRIMARY CARE PC
NPI 1336665728
Internal Medicine in Dearborn, MI
About Pelham Primary Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PELHAM PRIMARY CARE PC (NPI 1336665728) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since August 2017. The organization lists Ribhi Hazin, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Pelham Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Pelham Primary Care PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 23D2155592
Pelham Primary Care · Dearborn, 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 Pelham Primary Care PC's NPI number?
The NPI number for Pelham Primary Care PC is 1336665728. It was assigned to this organization in the NPPES registry on August 17, 2017.
Where is Pelham Primary Care PC located?
Pelham Primary Care PC is located at 3815 Pelham St, Dearborn, MI 48124. The listed phone number is (313) 789-7636.
What is Pelham Primary Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pelham Primary Care PC enrolled in Medicare?
Yes. Pelham Primary Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pelham Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Pelham Primary Care PC. 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pelham Primary Care PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pelham Primary Care 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 Pelham Primary Care PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pelham Primary Care Pc · NPI 1336665728
Internal Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since August 17, 2017.
## Identity
- **NPI:** 1336665728 (Entity type: Organization)
- **Enumerated:** August 17, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ribhi Hazin, PARTNER
## Practice location
- **Address:** 3815 PELHAM ST, Dearborn, MI 48124-3852
- **Phone:** (313) 789-7636 · **Fax:** (313) 789-7018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336665728) · Data from the CMS NPPES public registry.