MATHEWS MEDICAL CENTER PLLC
NPI 1588749709
Internal Medicine in Troy, MI

Active since October 26, 2006
2221 LIVERNOIS RD, SUITE 100, TROY, MI 48083(248) 250-9474(248) 250-9483 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mathews Medical Center Pllc NPPES

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

MATHEWS MEDICAL CENTER PLLC (NPI 1588749709) is a healthcare organization registered as an internal medicine in Troy, Michigan and active in the NPI registry since October 2006. The organization lists Mazin Yonan, President, as its authorized official.

NPPES Registry Identity

NPI1588749709
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMATHEWS MEDICAL CENTER PLLC
Location Address2221 LIVERNOIS RD, SUITE 100Troy, MI 48083-1603
Mailing Address2221 Livernois Rd, Suite 100Troy, MI 48083-1603 · (248) 250-9474 · Fax (248) 250-9483
Fax(248) 250-9483
Organization SubpartNo
Authorized OfficialMazin YonanPresident · (248) 250-9497
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 9, 2010
✔ NPI 1588749709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · MY075033
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.
2221 LIVERNOIS RD, Troy, MI 48083

Other Identifiers 10

Other0F38151MI · Bcbs
Other136976MI · Care Choices
Other57510MI · Total Health Plan
OtherP00296825MI · Railroad Medicare
OtherH88115MI · Hap
Medicare ID-Type Unspecified0P09520MI
Other13069MI · Cape Health Plan
Other148498MA · Great Lakes Health Plan
Medicare UPINH88115MI
Medicaid4696174MI

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathews Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050131000845Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mathews Medical Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1801888904
2221 LIVERNOIS RD 100
Troy, MI 48083
(248) 250-9474
✔ 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 Mathews Medical Center PLLC's NPI number?

The NPI number for Mathews Medical Center PLLC is 1588749709. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Mathews Medical Center PLLC located?

Mathews Medical Center PLLC is located at 2221 Livernois Rd Suite 100, Troy, MI 48083. The listed phone number is (248) 250-9474.

What is Mathews Medical Center PLLC's specialty?

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

Is Mathews Medical Center PLLC enrolled in Medicare?

Yes. Mathews Medical Center PLLC is registered in the Medicare PECOS enrollment system.

When is Mathews Medical Center PLLC'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 December 31, 2026. 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 Mathews Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mathews Medical Center PLLC. 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 Mathews Medical Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mathews Medical Center PLLC 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 Mathews Medical Center PLLC was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.