MACOMB MEDICAL AND WELLNESS C
NPI 1356876106
Clinic/Center - Primary Care in Warren, MI

Active since April 28, 2017
29135 RYAN RD STE E, WARREN, MI 48092(248) 951-8928(248) 951-2978 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Nov 30, 2017, Apr 28, 2017 (3 updates tracked since 2017).

About Macomb Medical And Wellness C NPPES

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

MACOMB MEDICAL AND WELLNESS C (NPI 1356876106) is a healthcare organization registered as a primary care in Warren, Michigan and active in the NPI registry since April 2017. The organization lists Jean-luc Michel, Owner, as its authorized official.

NPPES Registry Identity

NPI1356876106
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMACOMB MEDICAL AND WELLNESS CENTER PLLC
Location Address29135 RYAN RD STE EWarren, MI 48092-4282
Mailing Address29135 Ryan Rd Ste EWarren, MI 48092-4282 · (248) 951-8928 · Fax (248) 951-2978
Fax(248) 951-2978
Organization SubpartNo
Authorized OfficialJean-luc MichelOwner · (586) 393-5439
Enumeration DateApril 28, 2017
Last NPPES UpdateDecember 20, 20233 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1356876106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
29135 RYAN RD STE E, Warren, MI 48092

Other Names 1

Doing Business AsMacomb Medical And Wellness C

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macomb Medical And Wellness C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Macomb Medical And Wellness C, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1457302747
29135 RYAN RD STE E
Warren, MI 48092
(248) 951-8928
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1114165339
2571 PINE RIDGE RD
West Bloomfield, MI 48324
(313) 850-4731
✔ PECOS✔ Accepts Medicare15 mi
General Practice
NPI 1366638249
4010 S 57TH AVE STE 101
Greenacres, FL 33463
(561) 408-2169
✔ PECOS1,108 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Macomb Medical And Wellness Center PLLC's NPI number?

The NPI number for Macomb Medical And Wellness Center PLLC is 1356876106. It was assigned to this organization in the NPPES registry on April 28, 2017. The provider is doing business as Macomb Medical And Wellness C.

Where is Macomb Medical And Wellness Center PLLC located?

Macomb Medical And Wellness Center PLLC is located at 29135 Ryan Rd Ste E, Warren, MI 48092. The listed phone number is (248) 951-8928.

What is Macomb Medical And Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Macomb Medical And Wellness Center PLLC enrolled in Medicare?

Yes. Macomb Medical And Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Macomb Medical And Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Macomb Medical And Wellness Center PLLC, in Clinical Social Worker, Family Practice and General Practice. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Macomb Medical And Wellness Center PLLC was last updated on December 20, 2023. 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.