ESSENTIAL CARE FAMILY MEDICINE PLLC
NPI 1508519075
Family Medicine in Saint Clair Shores, MI

Active since February 03, 2022CLIA 23D2257998 · Waiver
21603 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081(586) 280-2100(586) 210-8808 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Apr 14, 2022, Feb 21, 2022 and 1 more (4 updates tracked since 2022).

About Essential Care Family Medicine Pllc NPPES

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

ESSENTIAL CARE FAMILY MEDICINE PLLC (NPI 1508519075) is a healthcare organization registered as a family medicine in Saint Clair Shores, Michigan and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Marcus Edward Koss, Owner, as its authorized official.

NPPES Registry Identity

NPI1508519075
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameESSENTIAL CARE FAMILY MEDICINE PLLC
Location Address21603 E 11 MILE RDSaint Clair Shores, MI 48081-1636
Mailing Address21603 E 11 Mile RdSaint Clair Shores, MI 48081-1636 · (586) 280-2100 · Fax (833) 496-1920
Fax(586) 210-8808
Organization SubpartNo
Authorized OfficialMarcus Edward KossOwner · (586) 280-2100
Enumeration DateFebruary 3, 2022
Last NPPES UpdateMay 26, 20224 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
NPI 1508519075 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.
21603 E 11 MILE RD, Saint Clair Shores, MI 48081

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

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 23D2257998

Essential Care Family Medicine, PLLC · Saint Clair Shores, MI
Active · expires Apr 13, 2028
CLIA Number23D2257998
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorMarcus E. Koss
Laboratory Phone(586) 280-2100
Laboratory LocationEssential Care Family Medicine, PLLC21603 E 11 Mile Road, Saint Clair Shores, MI 48081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
21603 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Family Medicine
21603 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Essential Care Family Medicine PLLC's NPI number?

The NPI number for Essential Care Family Medicine PLLC is 1508519075. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Essential Care Family Medicine PLLC located?

Essential Care Family Medicine PLLC is located at 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081. The listed phone number is (586) 280-2100.

What is Essential Care Family Medicine PLLC's specialty?

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

Does Essential Care Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2257998) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Essential Care Family Medicine PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Essential Care Family Medicine PLLC 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 Essential Care Family Medicine PLLC was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.