PREMIER OBGYN
NPI 1609900828
Obstetrics & Gynecology in Farmington Hills, MI

Active since March 16, 2007
28100 GRAND RIVER AVE, SUITE 306 SOUTH, FARMINGTON HILLS, MI 48336(947) 521-2649 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2019, Jul 11, 2016 (2 updates tracked since 2016).

About Premier Obgyn NPPES

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

PREMIER OBGYN (NPI 1609900828) is a healthcare organization registered as an obstetrics & gynecology in Farmington Hills, Michigan and active in the NPI registry since March 2007. The organization lists Lesley Willbrandt, Director Shared Services, as its authorized official.

NPPES Registry Identity

NPI1609900828
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBOTSFORD GENERAL HOSPITAL
Location Address28100 GRAND RIVER AVE, SUITE 306 SOUTHFarmington Hills, MI 48336-5967
Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849
Organization SubpartYes
Authorized OfficialLesley WillbrandtDirector Shared Services · (947) 522-1911
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 16, 20192 updates tracked since enumeration
✔ NPI 1609900828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
28100 GRAND RIVER AVE, Farmington Hills, MI 48336

Other Names 1

Doing Business AsPremier Obgyn

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)

Premier Obgyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031111000592Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Premier Obgyn, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Obstetrics/Gynecology9
Nurse Practitioner1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1083086482
28711 8 MILE RD STE C
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1457513574
28711 8 MILE RD STE C
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1346277290
28711 8 MILE RD STE C
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1861698995
28711 8 MILE RD
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1457393514
28711 8 MILE RD C/O COMPREHENSIVE OBGYN
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts Medicare2.7 mi
Obstetrics/Gynecology
NPI 1578944716
39475 LEWIS DR STE 270
Novi, MI 48377
(248) 324-9024
✔ PECOS✔ Accepts Medicare7.2 mi
Obstetrics/Gynecology
NPI 1609810530
39475 LEWIS DR STE 270
Novi, MI 48377
(248) 324-9024
✔ PECOS✔ Accepts Medicare7.2 mi
Obstetrics/Gynecology
NPI 1861805590
39475 LEWIS DR STE 270
Novi, MI 48377
(248) 324-9024
✔ PECOS✔ Accepts Medicare7.2 mi
Obstetrics/Gynecology
NPI 1285685503
2142 MONROE ST STE 100
Dearborn, MI 48124
(313) 481-1030
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1679956999
29751 LITTLE MACK AVE STE B
Roseville, MI 48066
(586) 415-6200
✔ PECOS✔ Accepts Medicare22 mi

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 Botsford General Hospital's NPI number?

The NPI number for Botsford General Hospital is 1609900828. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Premier Obgyn.

Where is Botsford General Hospital located?

Botsford General Hospital is located at 28100 Grand River Ave Suite 306 South, Farmington Hills, MI 48336. The listed phone number is (947) 521-2649.

What is Botsford General Hospital's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Botsford General Hospital enrolled in Medicare?

Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.

When is Botsford General Hospital'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 March 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 Botsford General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Botsford General Hospital. 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 Obstetrics/Gynecology (9) and Nurse Practitioner (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Botsford General Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Botsford General Hospital 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 Botsford General Hospital was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.