ST MARY MERCY PHYSICIAN PRACTICES
NPI 1568630077
Clinic/Center - Multi-Specialty in Livonia, MI
About St Mary Mercy Physician Practices NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARY MERCY PHYSICIAN PRACTICES (NPI 1568630077) is a healthcare organization registered as a multi-specialty in Livonia, Michigan and active in the NPI registry since February 2008. The organization lists Ariana Grace Raymond, Manager Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Mary Mercy Physician Practices is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to St Mary Mercy Physician Practices, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 59Livonia, MI 48154
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 St Mary Mercy Physician Practices's NPI number?
The NPI number for St Mary Mercy Physician Practices is 1568630077. It was assigned to this organization in the NPPES registry on February 19, 2008.
Where is St Mary Mercy Physician Practices located?
St Mary Mercy Physician Practices is located at 36475 5 Mile Rd, Livonia, MI 48154. The listed phone number is (734) 655-4800.
What is St Mary Mercy Physician Practices's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is St Mary Mercy Physician Practices enrolled in Medicare?
Yes. St Mary Mercy Physician Practices is registered in the Medicare PECOS enrollment system.
When is St Mary Mercy Physician Practices's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St Mary Mercy Physician Practices?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 11 Medicare specialties reassign their Medicare billing to St Mary Mercy Physician Practices. 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 Psychiatry (13), Family Practice (12) and Nurse Practitioner (12). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St Mary Mercy Physician Practices 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 St Mary Mercy Physician Practices 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 St Mary Mercy Physician Practices was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# St Mary Mercy Physician Practices · NPI 1568630077
Multi-Specialty organization in Livonia, Michigan. Organization record, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1568630077 (Entity type: Organization)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of St Mary Mercy Hospital)
- **Authorized official:** Ariana Raymond, MANAGER PROVIDER ENROLLMENT
## Practice location
- **Address:** 36475 5 MILE RD, Livonia, MI 48154-1971
- **Phone:** (734) 655-4800 · **Fax:** (734) 655-2609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 59 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (13), Family Practice (12), Nurse Practitioner (12); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1568630077/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Other 010H233560 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1568630077) · Data from the CMS NPPES public registry.