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S PARK-DAVIS HEALTHCARE
NPI 1649631813
Internal Medicine in Novi, MI

Active since March 15, 2016CLIA 23D0965876 · Microscopy
30880 BECK RD, NOVI, MI 48377(248) 926-0009(248) 926-8972 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2025, Sep 12, 2018, Mar 15, 2016 (3 updates tracked since 2016).

About S Park-davis Healthcare NPPES

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

S PARK-DAVIS HEALTHCARE (NPI 1649631813), doing business as Comprehensive Integrated Health Care, is a healthcare organization registered as an internal medicine in Novi, Michigan and active in the NPI registry since March 2016. The organization holds a CLIA Microscopy certificate valid through September 29, 2027 and lists Sungnan Park-davis, President, as its authorized official.

NPPES Registry Identity

NPI1649631813
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameS PARK-DAVIS HEALTHCARE
Location Address30880 BECK RDNovi, MI 48377-1000
Mailing Address30880 Beck RdNovi, MI 48377-1000 · (248) 926-0009 · Fax (248) 926-8972
Phone(248) 926-0009
Fax(248) 926-8972
Organization SubpartNo
Authorized OfficialSungnan Park-davisPresident · (248) 229-0640
Enumeration DateMarch 15, 2016
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1649631813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
30880 BECK RD, Novi, MI 48377
Open in Google Maps ↗

Other Names 1

Doing Business AsComprehensive Integrated Health Care

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 MULTIPLE SINGLE 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)

S Park-davis Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to S Park-Davis Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Sungnan Park Davis, MD
Internal Medicine
NPI 1932291432
30880 BECK RD
Novi, MI 48377
(248) 926-0009
✔ PECOS✔ Accepts MedicareSame address
Heather Koza, MD
Family Practice
NPI 1194045526
23800 ORCHARD LAKE RD STE 202
Farmington Hills, MI 48336
(248) 997-5964
✔ PECOS✔ Accepts Medicare9.0 mi
Marvin Kasmikha, DO
Family Practice
NPI 1134618788
1961 S TELEGRAPH RD
Bloomfield Hills, MI 48302
(248) 319-6190
✔ PECOS✔ Accepts Medicare13 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0965876

S Park Davis Healthcare Dba Comprehensive Integrated Health Care · Novi, MI
Active · expires Sep 29, 2027
CLIA Number23D0965876
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorSungnan Park-Davis
Laboratory Phone(248) 926-0009
Laboratory LocationS Park Davis Healthcare Dba Comprehensive Integrated Health Care30880 Beck Road, Novi, MI 48377
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 S Park-Davis Healthcare's NPI number?

The NPI number for S Park-Davis Healthcare is 1649631813. It was assigned to this organization in the NPPES registry on March 15, 2016. The provider is doing business as Comprehensive Integrated Health Care.

Where is S Park-Davis Healthcare located?

S Park-Davis Healthcare is located at 30880 Beck Rd, Novi, MI 48377. The listed phone number is (248) 926-0009.

What is S Park-Davis Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is S Park-Davis Healthcare enrolled in Medicare?

Yes. S Park-Davis Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S Park-Davis Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to S Park-Davis Healthcare, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does S Park-Davis Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0965876) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does S Park-Davis Healthcare accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list S Park-Davis Healthcare 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 S Park-Davis Healthcare was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.