PROFESSIONAL PRIMARY CARE SERVICES PC
NPI 1588852933
Internal Medicine in Bloomfield Hills, MI
About Professional Primary Care Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL PRIMARY CARE SERVICES PC (NPI 1588852933) is a healthcare organization registered as an internal medicine in Bloomfield Hills, Michigan and active in the NPI registry since October 2007. The organization lists Jayakar Reddy Kanmantha Reddy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Professional Primary Care Services 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 Professional Primary Care Services PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Waterford Township, MI 48327
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 Professional Primary Care Services PC's NPI number?
The NPI number for Professional Primary Care Services PC is 1588852933. It was assigned to this organization in the NPPES registry on October 11, 2007.
Where is Professional Primary Care Services PC located?
Professional Primary Care Services PC is located at 43996 Woodward Ave Ste 104, Bloomfield Hills, MI 48302. The listed phone number is (248) 977-4138.
What is Professional Primary Care Services PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Professional Primary Care Services PC enrolled in Medicare?
Yes. Professional Primary Care Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Primary Care Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Professional Primary Care Services 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 Professional Primary Care Services PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Professional Primary Care Services 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 Professional Primary Care Services PC was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Professional Primary Care Services Pc · NPI 1588852933
Internal Medicine organization in Bloomfield Hills, Michigan. Organization record, active in the CMS NPPES registry since October 11, 2007.
## Identity
- **NPI:** 1588852933 (Entity type: Organization)
- **Enumerated:** October 11, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jayakar Reddy Kanmantha Reddy, PRESIDENT
## Practice location
- **Address:** 43996 WOODWARD AVE STE 104, Bloomfield Hills, MI 48302-5028
- **Phone:** (248) 977-4138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2011
- **Other identifiers:** Medicare PIN 0P02540 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1588852933) · Data from the CMS NPPES public registry.