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PRINCE J EUBANKS MD PC
NPI 1407957988
Internal Medicine - Gastroenterology in Southfield, MI

Active since September 26, 2006
17330 NORTHLAND PARK CT STE 100, SOUTHFIELD, MI 48075(248) 569-1045(248) 569-1058 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Dec 5, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2020).

About Prince J Eubanks Md Pc NPPES

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

PRINCE J EUBANKS MD PC (NPI 1407957988) is a healthcare organization registered as a gastroenterology in Southfield, Michigan and active in the NPI registry since September 2006. The organization lists Prince Eubanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1407957988
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePRINCE J EUBANKS MD PC
Location Address17330 NORTHLAND PARK CT STE 100Southfield, MI 48075-4319
Mailing Address19785 W 12 Mile Rd # 268Southfield, MI 48076-2584 · (248) 569-1045 · Fax (248) 569-1058
Phone(248) 569-1045
Fax(248) 569-1058
Organization SubpartNo
Authorized OfficialPrince EubanksOwner · (248) 569-1045
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1407957988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17330 NORTHLAND PARK CT STE 100, Southfield, MI 48075
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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)

Prince J Eubanks Md 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 Prince J Eubanks MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Prince Eubanks, MD
Gastroenterology
NPI 1841391323
17330 NORTHLAND PARK CT STE 100
Southfield, MI 48075
(248) 569-1045
✔ 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 Prince J Eubanks MD PC's NPI number?

The NPI number for Prince J Eubanks MD PC is 1407957988. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Prince J Eubanks MD PC located?

Prince J Eubanks MD PC is located at 17330 Northland Park Ct Ste 100, Southfield, MI 48075. The listed phone number is (248) 569-1045.

What is Prince J Eubanks MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Prince J Eubanks MD PC enrolled in Medicare?

Yes. Prince J Eubanks MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prince J Eubanks MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Prince J Eubanks 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prince J Eubanks MD PC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.