NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER
NPI 1467576132
Psychiatry & Neurology - Neurology in Southfield, MI
About Northwest Neurology And Neurodiagnostic Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER (NPI 1467576132) is a healthcare organization registered as a neurology in Southfield, Michigan and active in the NPI registry since March 2007. The organization lists Tessy C Jenkins, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Northwest Neurology And Neurodiagnostic Center 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwest Neurology And Neurodiagnostic Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Northwest Neurology PC's NPI number?
The NPI number for Northwest Neurology PC is 1467576132. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Northwest Neurology And Neurodiagnostic Center.
Where is Northwest Neurology PC located?
Northwest Neurology PC is located at 27200 Lahser Rd Suite 100, Southfield, MI 48034. The listed phone number is (248) 208-9215.
What is Northwest Neurology PC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Northwest Neurology PC enrolled in Medicare?
Yes. Northwest Neurology PC is registered in the Medicare PECOS enrollment system.
When is Northwest Neurology 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 Northwest Neurology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Northwest Neurology 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 Northwest Neurology 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 Northwest Neurology 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 Northwest Neurology PC was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Northwest Neurology And Neurodiagnostic Center · NPI 1467576132
Neurology organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1467576132 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Legal business name:** Northwest Neurology Pc
- **Organization subpart:** No
- **Authorized official:** Tessy Jenkins, PRESIDENT
## Practice location
- **Address:** 27200 LAHSER RD, SUITE 100, Southfield, MI 48034-2137
- **Phone:** (248) 208-9215 · **Fax:** (248) 208-9217
## 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:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2010
- **Other identifiers:** Medicaid 4639614 (MI); Medicare ID-Type Unspecified N99260001 (MI); Medicare UPIN G35452 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1467576132) · Data from the CMS NPPES public registry.