GLENDALE NEUROLOGICAL ASSOCIATES P C
NPI 1639134414
Psychiatry & Neurology - Neurology in Farmington Hills, MI
About Glendale Neurological Associates P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENDALE NEUROLOGICAL ASSOCIATES P C (NPI 1639134414), doing business as Michigan Institute For Neurological Disorders, is a healthcare organization registered as a neurology in Farmington Hills, Michigan and active in the NPI registry since April 2006. The organization maintains 2 additional practice locations and lists William D Boudouris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Group Practice 1
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)
Glendale Neurological Associates P C 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.
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Glendale Neurological Associates P C, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 37Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
Farmington Hills, MI 48334
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 Glendale Neurological Associates P C's NPI number?
The NPI number for Glendale Neurological Associates P C is 1639134414. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Michigan Institute for Neurological Disorders.
Where is Glendale Neurological Associates P C located?
Glendale Neurological Associates P C is located at 28595 Orchard Lake Rd Suite 200, Farmington Hills, MI 48334. The listed phone number is (248) 553-0010.
What is Glendale Neurological Associates P C's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Glendale Neurological Associates P C enrolled in Medicare?
Yes. Glendale Neurological Associates P C is registered in the Medicare PECOS enrollment system.
When is Glendale Neurological Associates P C'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 Glendale Neurological Associates P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 6 Medicare specialties reassign their Medicare billing to Glendale Neurological Associates P C. 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 Neurology (23), Nurse Practitioner (9) and Diagnostic Radiology (2). Of these, 24 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Glendale Neurological Associates P C accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Glendale Neurological Associates P C 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 Glendale Neurological Associates P C was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Glendale Neurological Associates P C · NPI 1639134414
Neurology organization in Farmington Hills, Michigan. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1639134414 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Also known as:** Michigan Institute for Neurological Disorders (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** William Boudouris, PRESIDENT
## Practice location
- **Address:** 28595 ORCHARD LAKE RD, SUITE 200, Farmington Hills, MI 48334-2977
- **Phone:** (248) 553-0010 · **Fax:** (248) 553-0818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 37 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (23), Nurse Practitioner (9), Diagnostic Radiology (2); 24 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1639134414/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639134414) · Data from the CMS NPPES public registry.