TRI-COUNTY MEDICAL CLINIC, P.C.
NPI 1639264344
Clinic/Center - Multi-Specialty in Sterling Heights, MI
About Tri-county Medical Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-COUNTY MEDICAL CLINIC, P.C. (NPI 1639264344) is a healthcare organization registered as a multi-specialty in Sterling Heights, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Jeffrey Deitch, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Tri-county Medical Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Tri-County Medical Clinic, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
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
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 Waiver 23D0371520
Tri County Medical Clinic, PC · Sterling Heights, MIFrequently 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 Tri-County Medical Clinic, P.C.'s NPI number?
The NPI number for Tri-County Medical Clinic, P.C. is 1639264344. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Tri-County Medical Clinic, P.C. located?
Tri-County Medical Clinic, P.C. is located at 37450 Dequindre Rd, Sterling Heights, MI 48310. The listed phone number is (586) 979-5100.
What is Tri-County Medical Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Tri-County Medical Clinic, P.C. enrolled in Medicare?
Yes. Tri-County Medical Clinic, P.C. is registered in the Medicare PECOS enrollment system.
When is Tri-County Medical Clinic, 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 January 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 Tri-County Medical Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Tri-County Medical Clinic, 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 Internal Medicine (4), Family Practice (3) and Nurse Practitioner (3). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri-County Medical Clinic, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0371520) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tri-County Medical Clinic, 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 Tri-County Medical Clinic, 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 Tri-County Medical Clinic, P.C. was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Tri-County Medical Clinic, P.c. · NPI 1639264344
Multi-Specialty organization in Sterling Heights, Michigan. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1639264344 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Deitch, PRESIDENT
## Practice location
- **Address:** 37450 DEQUINDRE RD, Sterling Heights, MI 48310-3503
- **Phone:** (586) 979-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Family Practice (3), Nurse Practitioner (3); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639264344) · Data from the CMS NPPES public registry.