SHORES RHEUMATOLOGY PC
NPI 1497975510
Internal Medicine - Rheumatology in Saint Clair Shores, MI

Active since April 30, 2007
29200 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 777-7577(586) 777-6841 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shores Rheumatology Pc NPPES

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

SHORES RHEUMATOLOGY PC (NPI 1497975510) is a healthcare organization registered as a rheumatology in Saint Clair Shores, Michigan and active in the NPI registry since April 2007. The organization lists Andrew Sulich, President, as its authorized official.

NPPES Registry Identity

NPI1497975510
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameSHORES RHEUMATOLOGY PC
Location Address29200 HARPER AVESaint Clair Shores, MI 48081-1274
Mailing Address29200 Harper AveSaint Clair Shores, MI 48081-1274 · (586) 362-2429 · Fax (586) 777-6841
Fax(586) 777-6841
Organization SubpartNo
Authorized OfficialAndrew SulichPresident · (586) 777-7577
Enumeration DateApril 30, 2007
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1497975510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MI · AS048976
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
29200 HARPER AVE, Saint Clair Shores, MI 48081

Other Identifiers 1

Medicaid2594326MI

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 SINGLE 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)

Shores Rheumatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shores Rheumatology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Rheumatology
NPI 1255411039
29200 HARPER AVE
Saint Clair Shores, MI 48081
(586) 777-7577
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1508946385
29200 HARPER AVE
Saint Clair Shores, MI 48081
(586) 777-7577
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720438401
29200 HARPER AVE
Saint Clair Shores, MI 48081
(586) 777-7577
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457920126
5557 CASS AVE
Detroit, MI 48202
(586) 329-9505
✔ PECOS✔ Accepts Medicare13 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 Shores Rheumatology PC's NPI number?

The NPI number for Shores Rheumatology PC is 1497975510. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Shores Rheumatology PC located?

Shores Rheumatology PC is located at 29200 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 777-7577.

What is Shores Rheumatology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shores Rheumatology PC enrolled in Medicare?

Yes. Shores Rheumatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shores Rheumatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Shores Rheumatology PC, in Nurse Practitioner and Rheumatology. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shores Rheumatology PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shores Rheumatology 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 Shores Rheumatology PC was last updated on December 1, 2023. 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.