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AMINE P AMINE MD PC
NPI 1376296434
Internal Medicine - Adolescent Medicine in Saint Clair Shores, MI

Active since January 30, 2022
22631 GREATER MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080(586) 800-0086(586) 800-0087 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2023, Jan 30, 2022 (2 updates tracked since 2022).

About Amine P Amine Md Pc NPPES

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

AMINE P AMINE MD PC (NPI 1376296434) is a healthcare organization registered as an adolescent medicine in Saint Clair Shores, Michigan and active in the NPI registry since January 2022. The organization lists Diana El Masri, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1376296434
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameAMINE P AMINE MD PC
Location Address22631 GREATER MACK AVE STE 100Saint Clair Shores, MI 48080-2055
Mailing AddressPo Box 67Royal Oak, MI 48068-0067
Phone(586) 800-0086
Fax(586) 800-0087
Organization SubpartNo
Authorized OfficialDiana El MasriBilling Manager · (248) 215-0048
Enumeration DateJanuary 30, 2022
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1376296434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
22631 GREATER MACK AVE STE 100, Saint Clair Shores, MI 48080
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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)

Amine P Amine Md Pc 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 Amine P Amine MD PC, 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)

Krystal Shock
Nurse Practitioner
NPI 1255254819
22631 GREATER MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 800-0086
✔ PECOSSame address
Amine Amine, M.D
Internal Medicine
NPI 1861812828
AMINE P. AMINE MD PC 22631 GREATER MACK AVE, SUITE 100
St Clair Shores, MI 48080
(586) 800-0086
✔ PECOS✔ Accepts Medicare0.7 mi
Scott Jenner
Nurse Practitioner
NPI 1063361343
22745 KELLY RD
Eastpointe, MI 48021
(586) 771-1000
✔ PECOS✔ Accepts Medicare1.4 mi
Meghan Pasquali, FNP
Nurse Practitioner
NPI 1609587682
1402 W 14 MILE RD
Clawson, MI 48017
(866) 389-2727
✔ PECOS14 mi
Elizabeth Henson, FNP-BC
Nurse Practitioner
NPI 1467164764
44300 5 MILE RD
Northville, MI 48168
(734) 416-1883
✔ PECOS✔ Accepts Medicare29 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 Amine P Amine MD PC's NPI number?

The NPI number for Amine P Amine MD PC is 1376296434. It was assigned to this organization in the NPPES registry on January 30, 2022.

Where is Amine P Amine MD PC located?

Amine P Amine MD PC is located at 22631 Greater Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 800-0086.

What is Amine P Amine MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Amine P Amine MD PC enrolled in Medicare?

Yes. Amine P Amine MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amine P Amine MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Amine P Amine MD 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 (4) and Internal Medicine (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 Amine P Amine MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Amine P Amine MD 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 Amine P Amine MD PC 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.