ASIF ISHAQUE MD PC
NPI 1396879730
Internal Medicine in Davison, MI
About Asif Ishaque Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASIF ISHAQUE MD PC (NPI 1396879730) is a healthcare organization registered as an internal medicine in Davison, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Asif Ishaque, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Asif Ishaque Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Asif Ishaque MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 23D0372840
Asif Ishaque MD · Davison, 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 Asif Ishaque MD PC's NPI number?
The NPI number for Asif Ishaque MD PC is 1396879730. It was assigned to this organization in the NPPES registry on March 16, 2007.
Where is Asif Ishaque MD PC located?
Asif Ishaque MD PC is located at 9244 Lapeer Rd, Davison, MI 48423. The listed phone number is (810) 653-2111.
What is Asif Ishaque MD PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Asif Ishaque MD PC enrolled in Medicare?
Yes. Asif Ishaque MD PC is registered in the Medicare PECOS enrollment system.
When is Asif Ishaque MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Asif Ishaque MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Asif Ishaque MD PC, in Internal Medicine 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 Asif Ishaque MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0372840) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Asif Ishaque MD PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Asif Ishaque 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 Asif Ishaque MD PC was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Asif Ishaque Md Pc · NPI 1396879730
Internal Medicine organization in Davison, Michigan. Organization record, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1396879730 (Entity type: Organization)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Asif Ishaque, OWNER
## Practice location
- **Address:** 9244 LAPEER RD, Davison, MI 48423-1757
- **Phone:** (810) 653-2111 · **Fax:** (810) 653-8506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2009
- **Other identifiers:** Medicare ID-Type Unspecified 0N82050; Other DE4884
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396879730) · Data from the CMS NPPES public registry.