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EXECUTIVE HEALTH PC
NPI 1528445632
Internal Medicine in Dearborn, MI

Active since April 28, 2015CLIA 23D0704922 · Waiver
1213 MASON ST, DEARBORN, MI 48124(313) 278-2800(313) 278-0030 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Executive Health Pc NPPES

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

EXECUTIVE HEALTH PC (NPI 1528445632) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Massud Almassudi, Presedent, as its authorized official.

NPPES Registry Identity

NPI1528445632
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEXECUTIVE HEALTH PC
Location Address1213 MASON STDearborn, MI 48124-2841
Mailing Address1213 Mason StDearborn, MI 48124-2841 · (313) 278-2800 · Fax (313) 278-0030
Phone(313) 278-2800
Fax(313) 278-0030
Organization SubpartNo
Authorized OfficialMassud AlmassudiPresedent · (313) 278-2800
Enumeration DateApril 28, 2015
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1528445632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1213 MASON ST, Dearborn, MI 48124
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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 23D0704922

Executive Health PC · Dearborn, MI
Active · expires Aug 31, 2026
CLIA Number23D0704922
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSadiq H. Rizvi MD
Laboratory Phone(313) 278-2800
Laboratory LocationExecutive Health PC1213 Mason Street Ste #3, Dearborn, MI 48124
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 18

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

WILLIAM DICKIESON DPM PC
Podiatrist
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-2446
DR. MICHAEL ERDMAN D.D.S.
Dentist (General Practice)
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 562-5644
DR. ZEINAB MOUBADDER DPM
Podiatrist (Foot & Ankle Surgery)
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 278-2800
DR. WILLIAM DICKIESON D.P.M.
Podiatrist (Primary Podiatric Medicine)
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-2446
WASSIM YOUNES MD PLC
Internal Medicine
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 278-2800
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Physical Therapist
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 572-7771
WASSIM M YOUNES MD, RPH
Internal Medicine
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 278-2800
DR. SADIQ HUSAIN RIZVI MD
Internal Medicine
1213 MASON ST
DEARBORN, MI 48124
Wayne County (313) 274-2525

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 Executive Health PC's NPI number?

The NPI number for Executive Health PC is 1528445632. It was assigned to this organization in the NPPES registry on April 28, 2015.

Where is Executive Health PC located?

Executive Health PC is located at 1213 Mason St, Dearborn, MI 48124. The listed phone number is (313) 278-2800.

What is Executive Health PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Executive Health PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0704922) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Executive Health 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 Executive Health 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 Executive Health PC was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.