FAMILY MEDICINE PC
NPI 1417921628
Family Medicine in Southfield, MI

Q: What is Family Medicine PC's NPI number?

The NPI number for Family Medicine PC is 1417921628. It was assigned to this organization in the NPPES registry on February 14, 2006.

Q: What is Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 14, 2006

29255 NORTHWESTERN HWY, SUITE 203, SOUTHFIELD, MI 48034(248) 557-0535(248) 557-6145 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Family Medicine Pc NPPES

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

FAMILY MEDICINE PC (NPI 1417921628) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since February 2006. The organization lists Rodrigo Tobar, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1417921628

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICINE PC

Location Address29255 NORTHWESTERN HWY, SUITE 203Southfield, MI 48034-1018

Mailing Address29255 Northwestern Hwy, Suite 203Southfield, MI 48034-1018 · (248) 557-0535 · Fax (248) 557-6145

Phone(248) 557-0535

Fax(248) 557-6145

Organization SubpartNo

Authorized OfficialRodrigo TobarSecretary/treasurer · (248) 557-0535

Enumeration DateFebruary 14, 2006

Last NPPES UpdateJanuary 18, 2012

✔ NPI 1417921628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · RT008998

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

29255 NORTHWESTERN HWY, Southfield, MI 48034

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Other Identifiers 9

Other5630421MI · Pin Number

Other0638787MI · Pin Number

Other080F364760MI · Bcbs

Medicare UPINE26697MI

Medicare UPINB45065MI

Medicare ID-Type Unspecified0F364764081MI

Medicaid2691080MI

Other080165831MI · Palmetto Gba

Other008750MI · Detroit Medical Center

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Family Medicine 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 Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rodrigo Tobar, DO

Family Practice

NPI 1316014566

29255 NORTHWESTERN HWY SUITE 203
Southfield, MI 48034

(248) 557-0535

✔ 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.

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 23D0365028

Family Medicine PC · Southfield, MI

Expired · Oct 11, 2026

CLIA Number23D0365028

Laboratory TypePhysician Office

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorRodrigo Tobar Jr

Laboratory Phone(248) 557-0535

Laboratory LocationFamily Medicine PC29255 Northwestern Highway Suite 203, Southfield, MI 48034

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Family Medicine PC's NPI number?

The NPI number for Family Medicine PC is 1417921628. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Family Medicine PC located?

Family Medicine PC is located at 29255 Northwestern Hwy Suite 203, Southfield, MI 48034. The listed phone number is (248) 557-0535.

What is Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine PC enrolled in Medicare?

Yes. Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Medicine 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 Family Medicine PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Family Medicine 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 Family Medicine PC was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.