PARK MEDICAL CENTERS
NPI 1437161437
Family Medicine in Detroit, MI

Active since August 12, 2006CLIA Certified · 6 labs
12871 E JEFFERSON AVE, DETROIT, MI 48215(313) 821-3900(313) 821-1511 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2020, May 3, 2019 (2 updates tracked since 2019).

About Park Medical Centers NPPES

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

PARK MEDICAL CENTERS (NPI 1437161437) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since August 2006. The organization holds 6 active CLIA laboratory certificates and lists Jeffrey Howard Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437161437
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARK FAMILY HEALTH CARE, P.C.
Location Address12871 E JEFFERSON AVEDetroit, MI 48215-2754
Mailing Address28212 Franklin RdSouthfield, MI 48034-1659 · (248) 356-5555 · Fax (248) 356-5544
Fax(313) 821-1511
Organization SubpartNo
Authorized OfficialJeffrey Howard BrownCeo · (248) 356-5555
Enumeration DateAugust 12, 2006
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1437161437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
12871 E JEFFERSON AVE, Detroit, MI 48215

Other Names 1

Other NamePark Medical Centers

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Medical Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031231000344Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Park Medical Centers, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice13
Nurse Practitioner13
Internal Medicine2
Cardiovascular Disease (Cardiology)1
Diagnostic Radiology1

Nearest to this location (20)

See all 30
Family Practice
NPI 1801888565
12871 E JEFFERSON AVE
Detroit, MI 48215
(313) 821-3900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548252240
12871 E JEFFERSON AVE
Detroit, MI 48215
(313) 821-3900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477987188
11180 GRATIOT AVE SUITE C
Detroit, MI 48213
(313) 372-7111
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1164898722
15200 GRATIOT
Detroit, MI 48205
(313) 924-8495
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1750373478
3040 E 7 MILE RD
Detroit, MI 48234
(313) 368-0705
✔ PECOS✔ Accepts Medicare6.0 mi
Family Practice
NPI 1699767475
8305 GRAND RIVER AVE
Detroit, MI 48204
(313) 894-1900
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1124756291
28350 GRATIOT AVE
Roseville, MI 48066
(586) 775-2727
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1104815232
911 E 9 MILE RD
Ferndale, MI 48220
(248) 336-4000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1871917724
10140 VERNOR HWY
Dearborn, MI 48120
(313) 413-8684
✔ PECOS11 mi
Nurse Practitioner
NPI 1669439758
2255 FORT ST
Lincoln Park, MI 48146
(313) 386-7500
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1396281234
20720 PLYMOUTH RD
Detroit, MI 48228
(313) 493-4330
✔ PECOS15 mi
Nurse Practitioner
NPI 1144990938
20720 PLYMOUTH RD
Detroit, MI 48228
(313) 493-4330
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1871292151
20720 PLYMOUTH RD
Detroit, MI 48228
(313) 493-4330
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1275007544
20720 PLYMOUTH RD
Detroit, MI 48228
(313) 493-4330
✔ PECOS✔ Accepts Medicare15 mi
Cardiovascular Disease (Cardiology)
NPI 1861472714
23822 FORD RD
Dearborn Heights, MI 48127
(313) 359-0200
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1003803966
6962 SPRUCE HILL CT
Bloomfield Hills, MI 48301
(248) 245-4833
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1366412272
32754 GRAND RIVER AVE
Farmington Hills, MI 48336
(248) 476-3280
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1144278367
38253 ANN ARBOR RD
Livonia, MI 48150
(734) 464-9200
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1922078450
38253 ANN ARBOR RD
Livonia, MI 48150
(734) 464-9200
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1093785941
38253 ANN ARBOR RD
Livonia, MI 48150
(734) 464-9200
✔ PECOS✔ Accepts Medicare24 mi
See all 30 clinicians

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 6

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 23D0901823

Park Family Health Care, PC · Detroit, MI
Active · expires Jun 6, 2027
CLIA Number23D0901823
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorRichard M. Brown Do
Laboratory Phone(313) 821-3900
Laboratory LocationPark Family Health Care, PC12871 E Jefferson, Detroit, MI 48215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0694693

Park Family Health Care, PC · Roseville, MI
Active · expires Jul 30, 2027
CLIA Number23D0694693
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorRichard M. Brown
Laboratory Phone(248) 356-5555
Laboratory LocationPark Family Health Care, PC28350 Gratiot Avenue, Roseville, MI 48066
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1018144

Park Family Health Care PC · Detroit, MI
Active · expires Oct 14, 2027
CLIA Number23D1018144
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorRichard M. Brown
Laboratory Phone(313) 493-4330
Laboratory LocationPark Family Health Care PC20720 Plymouth Road, Detroit, MI 48228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1011977

Park Family Health Care, PC · Detroit, MI
Active · expires Apr 28, 2027
CLIA Number23D1011977
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorRichard M. Brown
Laboratory Phone(313) 331-2727
Laboratory LocationPark Family Health Care, PC7633 E Jefferson Suite 160, Detroit, MI 48214
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0958299

Park Family Health Care, P C · Detroit, MI
Active · expires Mar 15, 2027
CLIA Number23D0958299
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorRichard M. Brown
Laboratory Phone(313) 642-8150
Laboratory LocationPark Family Health Care, P C20333 Conant, Detroit, MI 48234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2126231

Park Family Health Care, P C · Detroit, MI
Active · expires Feb 21, 2027
CLIA Number23D2126231
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorRichard M. Brown
Laboratory Phone(313) 924-8495
Laboratory LocationPark Family Health Care, P C15200 Gratiot Avenue, Detroit, MI 48205
CLIA data matches this NPI record on: Name
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 Park Family Health Care, P.C.'s NPI number?

The NPI number for Park Family Health Care, P.C. is 1437161437. It was assigned to this organization in the NPPES registry on August 12, 2006. The provider is also known as Park Medical Centers.

Where is Park Family Health Care, P.C. located?

Park Family Health Care, P.C. is located at 12871 E Jefferson Ave, Detroit, MI 48215. The listed phone number is (313) 821-3900.

What is Park Family Health Care, P.C.'s specialty?

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

Is Park Family Health Care, P.C. enrolled in Medicare?

Yes. Park Family Health Care, P.C. is registered in the Medicare PECOS enrollment system.

When is Park Family Health Care, P.C.'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 January 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 Park Family Health Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 5 Medicare specialties reassign their Medicare billing to Park Family Health Care, P.C.. 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 (13), Nurse Practitioner (13) and Internal Medicine (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Park Family Health Care, P.C. hold CLIA laboratory certificates?

Yes. 6 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 Park Family Health Care, P.C. 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 Park Family Health Care, P.C. 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 Park Family Health Care, P.C. was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.