HOME MD PLLC
NPI 1407747215
Family Medicine - Adult Medicine in Waterford, MI

Active since July 10, 2025
4568 W WALTON BLVD STE D, WATERFORD, MI 48329(855) 466-3631(833) 973-4493 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Home Md Pllc NPPES

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

HOME MD PLLC (NPI 1407747215) is a healthcare organization registered as an adult medicine in Waterford, Michigan and active in the NPI registry since July 2025. The organization lists Deborah Vaubel, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407747215
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameHOME MD PLLC
Location Address4568 W WALTON BLVD STE DWaterford, MI 48329-4900
Mailing Address4568 W Walton Blvd Ste DWaterford, MI 48329-4900 · (855) 466-3631 · Fax (833) 973-4493
Fax(833) 973-4493
Organization SubpartNo
Authorized OfficialDeborah VaubelAdministrator · (810) 620-0398
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1407747215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4568 W WALTON BLVD STE D, Waterford, MI 48329

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)

Home Md Pllc 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 Home MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1073991477
8323 MABLEY HILL RD UNITED STATES
Fenton, MI 48430
(248) 387-9196
✔ PECOS✔ Accepts Medicare18 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 Home MD PLLC's NPI number?

The NPI number for Home MD PLLC is 1407747215. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Home MD PLLC located?

Home MD PLLC is located at 4568 W Walton Blvd Ste D, Waterford, MI 48329. The listed phone number is (855) 466-3631.

What is Home MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Home MD PLLC enrolled in Medicare?

Yes. Home MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Home MD PLLC. 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 Home MD PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.