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MYMICHIGAN MEDICAL GROUP
NPI 1386694768
Surgery in Midland, MI

Active since May 10, 2006CLIA 23D0925030 · Waiver
4011 ORCHARD DR, MIDLAND, MI 48640(989) 839-3235(989) 839-1695 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Sep 27, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Mymichigan Medical Group NPPES

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

MYMICHIGAN MEDICAL GROUP (NPI 1386694768) is a healthcare organization registered as a surgery in Midland, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Sarah James, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1386694768
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMYMICHIGAN MEDICAL GROUP
Location Address4011 ORCHARD DRMidland, MI 48640-6190
Mailing Address4000 Wellness DrMidland, MI 48670-0001 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 839-3235
Fax(989) 839-1695
Organization SubpartNo
Authorized OfficialSarah JamesManager, Provider Enrollment · (989) 701-4734
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1386694768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4011 ORCHARD DR, Midland, MI 48640
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

197

Medicare enrollment records show 197 clinicians reassign Medicare billing to Mymichigan Medical Group, which bills Medicare for the services they deliver. Of these, 63 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Internal Medicine62
Nurse Practitioner55
Family Practice36
Hospitalist15
Clinical Social Worker11
Emergency Medicine4
Podiatry3
Critical Care (Intensivists)2
8 other specialties9

Nearest to this location (20)

See all 197
Steven Laporte
Nurse Practitioner
NPI 1952793622
4201 CAMPUS RIDGE DRIVE
Midland, MI 48640
(989) 488-5450
✔ PECOS✔ Accepts Medicare0.1 mi
Maria Shvab, MD
Internal Medicine
NPI 1992980460
4005 ORCHARD DRIVE
Midland, MI 48670
(989) 839-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Hussein Ayoub, MD
Internal Medicine
NPI 1811458292
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Opeyemi Babalola, MD
Internal Medicine
NPI 1184186017
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Dania Baraka, DO
Internal Medicine
NPI 1356071484
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Amer Bleibel
Hospitalist
NPI 1851772388
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Kelly Bond, FNP
Nurse Practitioner
NPI 1114641164
4000 WELLNESS DR
Midland, MI 48670
(989) 839-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Carpenter, NP
Nurse Practitioner
NPI 1497085963
4000 WELLNESS DR
Midland, MI 48670
(844) 832-1956
✔ PECOS✔ Accepts Medicare0.1 mi
Satyendra Dhar, M.D
Family Practice
NPI 1891019444
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Stephan Elliott
Family Practice
NPI 1376110643
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Rachel Kruger, NP
Nurse Practitioner
NPI 1588322713
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Hernan Maldonado, MD
Emergency Medicine
NPI 1306043773
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
John Mcroberts, DO
Hospitalist
NPI 1194205773
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Usman Virk, MD
Family Practice
NPI 1730874041
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS0.1 mi
Querobin Calvan, MD
Family Practice
NPI 1871804252
4000 WELLNESS DR
Midland, MI 48670
(989) 633-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Graczyk
Clinical Social Worker
NPI 1013560820
4401 CAMPUS RIDGE DR
Midland, MI 48640
(989) 837-9250
✔ PECOS✔ Accepts Medicare0.2 mi
Jack Pinney, MD
Sports Medicine
NPI 1982617247
4401 N CAMPUS RIDGE DR SUITE C2000
Midland, MI 48640
(989) 837-9350
✔ PECOS✔ Accepts Medicare0.2 mi
Travis Taylor, DO
Emergency Medicine
NPI 1437266582
4300 CAMPUS RIDG
Midland, MI 48640
(989) 839-1411
✔ PECOS✔ Accepts Medicare0.2 mi
Gayle Byker, MD
Hospice/Palliative Care
NPI 1881897866
3007 N SAGINAW RD
Midland, MI 48640
(989) 633-1400
✔ PECOS✔ Accepts Medicare0.4 mi
Amarish Potnis, MD
Geriatric Medicine
NPI 1962440867
3007 N SAGINAW RD
Midland, MI 48640
(989) 633-1400
✔ PECOS✔ Accepts Medicare0.4 mi
See all 197 clinicians

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 23D0925030

Mymichigan Medical Group Endocrinology And Diabetes · Midland, MI
Active · expires Feb 13, 2027
CLIA Number23D0925030
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorLoabat Amiri
Laboratory Phone(989) 839-1670
Laboratory LocationMymichigan Medical Group Endocrinology And Diabetes301 W Wackerly Street, Midland, MI 48640
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mymichigan Medical Group's NPI number?

The NPI number for Mymichigan Medical Group is 1386694768. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Mymichigan Medical Group located?

Mymichigan Medical Group is located at 4011 Orchard Dr, Midland, MI 48640. The listed phone number is (989) 839-3235.

What is Mymichigan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mymichigan Medical Group enrolled in Medicare?

Yes. Mymichigan Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mymichigan Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 197 clinicians in 16 Medicare specialties reassign their Medicare billing to Mymichigan Medical Group. 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 Internal Medicine (62), Nurse Practitioner (55) and Family Practice (36). Of these, 63 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mymichigan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0925030) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mymichigan Medical Group was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.