A3 MEDICAL
NPI 1366798373
Internal Medicine in Bloomfield, MI

Active since July 27, 2012
4050 W MAPLE ROAD, SUITE 101, BLOOMFIELD, MI 48301(248) 885-8211(248) 855-8357 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About A3 Medical NPPES

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

A3 MEDICAL (NPI 1366798373) is a healthcare organization registered as an internal medicine in Bloomfield, Michigan and active in the NPI registry since July 2012. The organization lists Supak Sookkasikon, Not Applicable, as its authorized official.

NPPES Registry Identity

NPI1366798373
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameA3 MEDICAL
Location Address4050 W MAPLE ROAD, SUITE 101Bloomfield, MI 48301
Mailing Address4050 W Maple Road, Suite 101Bloomfield, MI 48301 · (248) 885-8211 · Fax (248) 855-8357
Fax(248) 855-8357
Organization SubpartNo
Authorized OfficialSupak SookkasikonNot Applicable · (248) 885-8211
Enumeration DateJuly 27, 2012
Last NPPES UpdateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1366798373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301080609
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301083253 (MI)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
4050 W MAPLE ROAD, Bloomfield, MI 48301

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A3 Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to A3 Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1649376922
4050 W MAPLE RD SUITE 101
Bloomfield Township, MI 48301
(248) 885-8211
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518197029
1109 W LONG LAKE RD
Bloomfield Hills, MI 48302
(248) 723-2400
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1639121841
27211 LAHSER ROAD STE #200
Southfield, MI 48034
(248) 358-4892
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1710241856
911 E 9 MILE RD
Ferndale, MI 48220
(248) 336-4000
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1811975022
3500 15 MILE RD
Sterling Heights, MI 48310
(586) 977-6212
✔ PECOS11 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 A3 Medical's NPI number?

The NPI number for A3 Medical is 1366798373. It was assigned to this organization in the NPPES registry on July 27, 2012.

Where is A3 Medical located?

A3 Medical is located at 4050 W Maple Road Suite 101, Bloomfield, MI 48301. The listed phone number is (248) 885-8211.

What is A3 Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is A3 Medical enrolled in Medicare?

Yes. A3 Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A3 Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to A3 Medical. 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 Family Practice (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does A3 Medical accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list A3 Medical 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 A3 Medical was last updated on October 14, 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.