1. Home
  2. Directory
  3. Michigan
  4. Sterling Heights
  5. Family Medicine
  6. NPI Profile

SILVER PINE MEDICAL GROUP PLC
NPI 1639105695
Family Medicine in Sterling Heights, MI

Active since June 23, 2006CLIA Certified · 8 labs
43455 SCHOENHERR, SUITE 2, STERLING HEIGHTS, MI 48313(586) 726-4823(586) 726-8365 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Silver Pine Medical Group Plc NPPES

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

SILVER PINE MEDICAL GROUP PLC (NPI 1639105695) is a healthcare organization registered as a family medicine in Sterling Heights, Michigan and active in the NPI registry since June 2006. The organization holds 8 active CLIA laboratory certificates and lists Theodore L Tangalos, President, as its authorized official.

NPPES Registry Identity

NPI1639105695
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSILVER PINE MEDICAL GROUP PLC
Location Address43455 SCHOENHERR, SUITE 2Sterling Heights, MI 48313
Mailing Address43455 Schoenherr, Suite 2Sterling Heights, MI 48313 · (586) 726-4823 · Fax (586) 726-8365
Phone(586) 726-4823
Fax(586) 726-8365
Organization SubpartNo
Authorized OfficialTheodore L TangalosPresident · (586) 726-4823
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 3, 2008
✔ NPI 1639105695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
43455 SCHOENHERR, Sterling Heights, MI 48313
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified0N41830MI · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Silver Pine Medical Group Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Silver Pine Medical Group Plc, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Family Practice19
Nurse Practitioner13
Internal Medicine3
Physical Therapist in Private Practice3
Cardiovascular Disease (Cardiology)2
Cardiac Surgery1
Diagnostic Radiology1
General Practice1
1 other specialty1

Nearest to this location (20)

See all 44
Parag Patel
Family Practice
NPI 1023079225
43455 SCHOENHERR RD STE. 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Genevieve Crandall, MD
Family Practice
NPI 1396736724
43455 SCHOENHERR RD SUITE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Dena Fakhouri
Nurse Practitioner
NPI 1427772631
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Vasilios Gikas, D.O.
Family Practice
NPI 1063683886
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Amanda Goold, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1225810823
43455 SCHOENHERR RD
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Antwan Hall, M.D.
Family Practice
NPI 1912260514
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(867) 264-8235
✔ PECOS✔ Accepts MedicareSame address
Nicole Omell, MD
Family Practice
NPI 1366931859
43455 SCHOENHERR RD
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Michael Raad, DO
Internal Medicine
NPI 1063514693
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Kristina Recchia-Batkins, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1619525870
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(313) 550-8888
✔ PECOS✔ Accepts MedicareSame address
Philip Tangalos, DO
General Practice
NPI 1194383299
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Rachel Tibaudo, FNP
Nurse Practitioner
NPI 1932637022
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Angela Willis, NP-C
Nurse Practitioner
NPI 1366911927
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOSSame address
Tristan Guevara, D.O.
Family Practice
NPI 1366475063
43455 SCHOENHERR RD SUITE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
John Habicht, M.D.
Family Practice
NPI 1477513257
43455 SCHOENHERR RD STE. 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Jennifer Hichme, MD
Family Practice
NPI 1386628196
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Steven Kotsonis, D.O.
Family Practice
NPI 1427032242
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
George Maristela, MD
Family Practice
NPI 1801072228
43455 SCHOENHERR RD SUITE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Prameela Patel, MD
Family Practice
NPI 1457334161
43455 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Theodore Tangalos, MD
Family Practice
NPI 1760466585
43445 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
Steven Thibault, MD
Family Practice
NPI 1851373468
43445 SCHOENHERR RD STE 2
Sterling Heights, MI 48313
(586) 726-4823
✔ PECOS✔ Accepts MedicareSame address
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D0954433

Silver Pine Medical Group · Sterling Heights, MI
Active · expires Jul 24, 2027
CLIA Number23D0954433
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorParag P. Patel
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group43455 Schoenherr Rd, Suite 19, Sterling Heights, MI 48313
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 23D2100809

Silver Pine Medical Group · Chesterfield, MI
Active · expires Aug 23, 2027
CLIA Number23D2100809
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorParag Patel
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group31225 23 Mile Road, Chesterfield, MI 48047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2227618

Silver Pine Medical Group · Lenox, MI
Active · expires Jun 14, 2027
CLIA Number23D2227618
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorSteven G. Kotsonis
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group36555 26 Mile Road Suite 2500, Lenox, MI 48048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2280381

Silver Pine Medical Group · Washington, MI
Active · expires Apr 17, 2027
CLIA Number23D2280381
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorTristan Guevara
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group57850 Van Dyke Avenue Suite 600, Washington, MI 48094
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1064827

Silver Pine Medical Group · Macomb, MI
Active · expires Feb 13, 2027
CLIA Number23D1064827
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorSteven J. Thibault
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group15959 Hall Road Suite 110, Macomb, MI 48044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0954131

Silver Pine Medical Group · Shelby Township, MI
Active · expires Jan 27, 2027
CLIA Number23D0954131
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorTheodore L. Tangalos
Laboratory Phone(586) 726-4823
Laboratory LocationSilver Pine Medical Group53950 Van Dyke, Shelby Township, MI 48316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Silver Pine Medical Group Plc's NPI number?

The NPI number for Silver Pine Medical Group Plc is 1639105695. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Silver Pine Medical Group Plc located?

Silver Pine Medical Group Plc is located at 43455 Schoenherr Suite 2, Sterling Heights, MI 48313. The listed phone number is (586) 726-4823.

What is Silver Pine Medical Group Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Silver Pine Medical Group Plc enrolled in Medicare?

Yes. Silver Pine Medical Group Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silver Pine Medical Group Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 9 Medicare specialties reassign their Medicare billing to Silver Pine Medical Group Plc. 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 Family Practice (19), Nurse Practitioner (13) and Internal Medicine (3). Of these, 20 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Silver Pine Medical Group Plc hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Silver Pine Medical Group Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Silver Pine Medical Group Plc 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 Silver Pine Medical Group Plc was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.