QMJ MEDICAL CENTER PC
NPI 1417765173
Internal Medicine in Lathrup Village, MI

Active since December 26, 2024
26237 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076(248) 945-1962(248) 945-1963 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Qmj Medical Center Pc NPPES

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

QMJ MEDICAL CENTER PC (NPI 1417765173) is a healthcare organization registered as an internal medicine in Lathrup Village, Michigan and active in the NPI registry since December 2024. The organization lists Priti Padamanabha Shetty, Biller, as its authorized official.

NPPES Registry Identity

NPI1417765173
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQMJ MEDICAL CENTER PC
Location Address26237 SOUTHFIELD RDLathrup Village, MI 48076-4546
Mailing Address49902 Tahoe WayCanton, MI 48187-4483 · (248) 787-1137 · Fax (248) 962-3496
Fax(248) 945-1963
Organization SubpartNo
Authorized OfficialPriti Padamanabha ShettyBiller · (248) 787-1137
Enumeration DateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
✔ NPI 1417765173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
26237 SOUTHFIELD RD, Lathrup Village, MI 48076

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

Accepted 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)

Qmj Medical Center 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 Qmj Medical Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1225016256
3120 CARPENTER ST SUITE 207
Hamtramck, MI 48212
(313) 891-8246
✔ PECOS✔ Accepts Medicare9.7 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 Qmj Medical Center PC's NPI number?

The NPI number for Qmj Medical Center PC is 1417765173. It was assigned to this organization in the NPPES registry on December 26, 2024.

Where is Qmj Medical Center PC located?

Qmj Medical Center PC is located at 26237 Southfield Rd, Lathrup Village, MI 48076. The listed phone number is (248) 945-1962.

What is Qmj Medical Center PC's specialty?

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

Is Qmj Medical Center PC enrolled in Medicare?

Yes. Qmj Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Qmj Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Qmj Medical Center 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.

What insurance does Qmj Medical Center PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Qmj Medical Center 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 Qmj Medical Center PC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.