LIFE MEDICAL CENTER
NPI 1366077000
Family Medicine in Dearborn, MI
About Life Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE MEDICAL CENTER (NPI 1366077000) is a healthcare organization registered as a family medicine in Dearborn, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Diana El Masri, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Life Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Life Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 23D2183262
Mike Eldirani MD Plc · 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 Mike Eldirani MD Plc's NPI number?
The NPI number for Mike Eldirani MD Plc is 1366077000. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Life Medical Center.
Where is Mike Eldirani MD Plc located?
Mike Eldirani MD Plc is located at 25325 Ford Rd Ste 200, Dearborn, MI 48128. The listed phone number is (313) 456-5050.
What is Mike Eldirani MD Plc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mike Eldirani MD Plc enrolled in Medicare?
Yes. Mike Eldirani MD Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mike Eldirani MD Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mike Eldirani MD Plc, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mike Eldirani MD Plc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2183262) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mike Eldirani MD Plc 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 Mike Eldirani MD 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 Mike Eldirani MD Plc was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Life Medical Center · NPI 1366077000
Family Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1366077000 (Entity type: Organization)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Mike Eldirani Md Plc
- **Organization subpart:** No
- **Authorized official:** Diana El Masri, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 25325 FORD RD STE 200, Dearborn, MI 48128-1086
- **Phone:** (313) 456-5050 · **Fax:** (313) 914-5922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
- **Other identifiers:** Medicaid PENDING (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366077000) · Data from the CMS NPPES public registry.