METRO MEDICAL PRACTICE
NPI 1427096064
Internal Medicine in Troy, MI
About Metro Medical Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METRO MEDICAL PRACTICE (NPI 1427096064) is a healthcare organization registered as an internal medicine in Troy, Michigan and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Natalia Rutkovsky, Office Menager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metro Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Metro Medical Practice, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 2
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 23D0371474
Metro Medical Practice PC · Troy, MICertificate of Waiver 23D1079099
Metro Medical Practice PC · Hamtramck, MIFrequently 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 Metro Medical Practice PC's NPI number?
The NPI number for Metro Medical Practice PC is 1427096064. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is also known as Metro Medical Practice.
Where is Metro Medical Practice PC located?
Metro Medical Practice PC is located at 2891 E Maple Rd Suite 102, Troy, MI 48083. The listed phone number is (248) 524-9085.
What is Metro Medical Practice PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Metro Medical Practice PC enrolled in Medicare?
Yes. Metro Medical Practice PC is registered in the Medicare PECOS enrollment system.
When is Metro Medical Practice PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Metro Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Metro Medical Practice 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 Family Practice (4), Internal Medicine (1) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Metro Medical Practice PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Metro Medical Practice PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Metro Medical Practice 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 Metro Medical Practice PC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Metro Medical Practice · NPI 1427096064
Internal Medicine organization in Troy, Michigan. Organization record, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1427096064 (Entity type: Organization)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Metro Medical Practice Pc
- **Organization subpart:** No
- **Authorized official:** Natalia Rutkovsky, OFFICE MENAGER
## Practice location
- **Address:** 2891 E MAPLE RD, SUITE 102, Troy, MI 48083-6106
- **Phone:** (248) 524-9085 · **Fax:** (248) 524-9086
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Internal Medicine (1), Nurse Practitioner (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 29, 2024
- **Other identifiers:** Other 700F325720 (MI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427096064) · Data from the CMS NPPES public registry.