EXECUTIVE HEALTH PC
NPI 1528445632
Internal Medicine in Dearborn, MI
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, 2028 and lists Massud Almassudi, Presedent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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)
Executive Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Executive Health PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIFrequently 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.
Is Executive Health PC enrolled in Medicare?
Yes. Executive Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Executive Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Executive Health 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. The largest specialties are Internal Medicine (3), Nurse Practitioner (3) and Rheumatology (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 11 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.
# Executive Health Pc · NPI 1528445632
Internal Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1528445632 (Entity type: Organization)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Massud Almassudi, PRESEDENT
## Practice location
- **Address:** 1213 MASON ST, Dearborn, MI 48124-2841
- **Phone:** (313) 278-2800 · **Fax:** (313) 278-0030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (3), Rheumatology (1); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528445632) · Data from the CMS NPPES public registry.