SOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC
NPI 1417001660
Internal Medicine in Lathrup Village, MI

Q: What is Southeast Michigan Medical Associates PC's specialty?

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

Active since January 23, 2007

18451 W 12 MILE RD, STE 200, LATHRUP VILLAGE, MI 48076(248) 827-7612(248) 827-7615 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeast Michigan Medical Associates Pc NPPES

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

SOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC (NPI 1417001660) is a healthcare organization registered as an internal medicine in Lathrup Village, Michigan and active in the NPI registry since January 2007. The organization lists Ashok Kumar Bansal, President, as its authorized official.

NPPES Registry Identity

NPI1417001660

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC

Location Address18451 W 12 MILE RD, STE 200Lathrup Village, MI 48076-2644

Mailing Address18451 W 12 Mile Rd, Ste 200Lathrup Village, MI 48076-2644 · (248) 827-7612 · Fax (248) 827-7615

Phone(248) 827-7612

Fax(248) 827-7615

Organization SubpartNo

Authorized OfficialAshok Kumar BansalPresident · (248) 827-7612

Enumeration DateJanuary 23, 2007

Last NPPES UpdateFebruary 21, 2017

✔ NPI 1417001660 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 · 4301057441

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.

18451 W 12 MILE RD, Lathrup Village, MI 48076

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Other Identifiers 5

Medicaid3150549MI

Other1106306332MI · Bcbsm

Medicare PIN0N85050MI

Medicare UPINF63583MI

Medicare PIN0N83280MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Michigan Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southeast Michigan Medical Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nicole Thomas, NP

Nurse Practitioner

NPI 1063076610

18451 W 12 MILE RD STE 200
Lathrup Village, MI 48076

(248) 827-7612

✔ PECOS✔ Accepts MedicareSame address

Zaid Yaldo, M.D.

Internal Medicine

NPI 1447514237

18451 W 12 MILE RD STE 200
Lathrup Village, MI 48076

(248) 827-7612

✔ PECOS✔ Accepts MedicareSame address

Vishnuvardhan Reddy, MD

Internal Medicine

NPI 1376522763

21816 W 11 MILE RD
Southfield, MI 48076

(248) 375-4040

✔ PECOS✔ Accepts Medicare1.9 mi

Ashok Bansal, MD

Internal Medicine

NPI 1114908209

26206 W 12 MILE RD STE 202
Southfield, MI 48034

(248) 827-7612

✔ PECOS✔ Accepts Medicare4.0 mi

Allan Schwartz, DO

Internal Medicine

NPI 1487653572

2520 S TELEGRAPH RD STE 101
Bloomfield Hills, MI 48302

(248) 745-5600

✔ PECOS7.6 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 Southeast Michigan Medical Associates PC's NPI number?

The NPI number for Southeast Michigan Medical Associates PC is 1417001660. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Southeast Michigan Medical Associates PC located?

Southeast Michigan Medical Associates PC is located at 18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076. The listed phone number is (248) 827-7612.

What is Southeast Michigan Medical Associates PC's specialty?

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

Is Southeast Michigan Medical Associates PC enrolled in Medicare?

Yes. Southeast Michigan Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Michigan Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Michigan Medical Associates 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. The largest specialties are Internal Medicine (4) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Michigan Medical Associates 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 Southeast Michigan Medical Associates 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 Southeast Michigan Medical Associates PC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.