MICHIGAN PHYSICIANS GROUP, PC
NPI 1518041052
Internal Medicine - Cardiovascular Disease in Berkley, MI

Q: What is Michigan Physicians Group, PC's NPI number?

The NPI number for Michigan Physicians Group, PC is 1518041052. It was assigned to this organization in the NPPES registry on October 24, 2006.

Q: What is Michigan Physicians Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since October 24, 2006CLIA 23D0877946 · Waiver

2905 12 MILE RD, BERKLEY, MI 48072(248) 541-0770(248) 541-6862 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Michigan Physicians Group, Pc NPPES

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

MICHIGAN PHYSICIANS GROUP, PC (NPI 1518041052) is a healthcare organization registered as a cardiovascular disease in Berkley, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Dinesh Shah, President/owner, as its authorized official.

NPPES Registry Identity

NPI1518041052

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameMICHIGAN PHYSICIANS GROUP, PC

Location Address2905 12 MILE RDBerkley, MI 48072-1413

Mailing Address26105 W 6 Mile RdRedford, MI 48240-2218 · (313) 537-2107 · Fax (313) 537-6544

Phone(248) 541-0770

Fax(248) 541-6862

Organization SubpartNo

Authorized OfficialDinesh ShahPresident/owner · (313) 537-2107

Enumeration DateOctober 24, 2006

Last NPPES UpdateApril 26, 2012

✔ NPI 1518041052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

2905 12 MILE RD, Berkley, MI 48072

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Other Identifiers 5

Other0F36177MI · Bcbsm

Medicaid1518041052MI

Other6388420001National Supplier Clearinghouse/nsc Ptan

Other0F38290MI · Bcbsm Laboratory

Medicare PIN0F36177

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D0877946

Michigan Physicians Group, PC · Berkley, MI

Active · expires Mar 10, 2027

CLIA Number23D0877946

Laboratory TypePhysician Office

Certificate Effective DateMarch 11, 2025

Certificate Expiration DateMarch 10, 2027

Laboratory DirectorRita P. Shah

Laboratory Phone(248) 541-0770

Laboratory LocationMichigan Physicians Group, PC2905 12 Mile Road, Berkley, MI 48072

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

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

DR. JESSE C. KRAKAUER MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2905 12 MILE RD
BERKLEY, MI 48072

Oakland County (248) 541-0770

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 Michigan Physicians Group, PC's NPI number?

The NPI number for Michigan Physicians Group, PC is 1518041052. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Michigan Physicians Group, PC located?

Michigan Physicians Group, PC is located at 2905 12 Mile Rd, Berkley, MI 48072. The listed phone number is (248) 541-0770.

What is Michigan Physicians Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Michigan Physicians Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0877946) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Physicians Group, 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 Michigan Physicians Group, 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 Michigan Physicians Group, PC was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.