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ADVANCED CARE CLINIC PC
NPI 1396053682
Internal Medicine in Dearborn Heights, MI

Active since September 20, 2010
25614 FORD RD, DEARBORN HEIGHTS, MI 48127(313) 791-8000(313) 791-8002 Get Directions Write a Review

NPPES record last updated: December 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Care Clinic Pc NPPES

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

ADVANCED CARE CLINIC PC (NPI 1396053682) is a healthcare organization registered as an internal medicine in Dearborn Heights, Michigan and active in the NPI registry since September 2010. The organization lists Nidal Jboor, Owner, as its authorized official.

NPPES Registry Identity

NPI1396053682
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVANCED CARE CLINIC PC
Location Address25614 FORD RDDearborn Heights, MI 48127-3024
Mailing Address25614 Ford RdDearborn Heights, MI 48127-3024 · (313) 791-8000 · Fax (313) 791-8002
Phone(313) 791-8000
Fax(313) 791-8002
Organization SubpartNo
Authorized OfficialNidal JboorOwner · (313) 791-8000
Enumeration DateSeptember 20, 2010
Last NPPES UpdateDecember 24, 2012
✔ NPI 1396053682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301082688
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.
25614 FORD RD, Dearborn Heights, MI 48127
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Advanced Care Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Care Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nidal Jboor, M.D.
Internal Medicine
NPI 1679543425
25614 FORD RD
Dearborn Heights, MI 48127
(313) 791-8000
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Care Clinic PC's NPI number?

The NPI number for Advanced Care Clinic PC is 1396053682. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Advanced Care Clinic PC located?

Advanced Care Clinic PC is located at 25614 Ford Rd, Dearborn Heights, MI 48127. The listed phone number is (313) 791-8000.

What is Advanced Care Clinic PC's specialty?

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

Is Advanced Care Clinic PC enrolled in Medicare?

Yes. Advanced Care Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Care Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Advanced Care Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Care Clinic PC was last updated on December 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.