PRIME CARE PHYSICIAN PC
NPI 1568635282
General Practice in Madison Heights, MI

Active since April 03, 2008
121 W 13 MILE RD, MADISON HEIGHTS, MI 48071(248) 583-0960(248) 583-0961 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Care Physician Pc NPPES

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

PRIME CARE PHYSICIAN PC (NPI 1568635282) is a healthcare organization registered as a general practice in Madison Heights, Michigan and active in the NPI registry since April 2008. The organization lists Girija Maripudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1568635282
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIME CARE PHYSICIAN PC
Location Address121 W 13 MILE RDMadison Heights, MI 48071-1857
Mailing Address121 W 13 Mile RdMadison Heights, MI 48071-1857 · (248) 583-0960 · Fax (248) 583-0961
Fax(248) 583-0961
Organization SubpartNo
Authorized OfficialGirija MaripudiOwner · (248) 583-0960
Enumeration DateApril 3, 2008
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1568635282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301066341
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
121 W 13 MILE RD, Madison Heights, MI 48071

Other Identifiers 2

Medicare PIN0N84950MI
Medicaid4593972MI

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Care Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Care Physician PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1346306685
121 W 13 MILE RD
Madison Heights, MI 48071
(248) 583-0960
✔ PECOS✔ Accepts MedicareSame address

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 Prime Care Physician PC's NPI number?

The NPI number for Prime Care Physician PC is 1568635282. It was assigned to this organization in the NPPES registry on April 3, 2008.

Where is Prime Care Physician PC located?

Prime Care Physician PC is located at 121 W 13 Mile Rd, Madison Heights, MI 48071. The listed phone number is (248) 583-0960.

What is Prime Care Physician PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Prime Care Physician PC enrolled in Medicare?

Yes. Prime Care Physician PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Care Physician PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Care Physician 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prime Care Physician PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Prime Care Physician 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 Prime Care Physician PC was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.