MICHIGAN PRIMARY CARE PLLC
NPI 1669799128
Specialist in Sterling Heights, MI

Active since April 23, 2010CLIA Certified · 3 labs
41400 DEQUINDRE RD STE 121, STERLING HEIGHTS, MI 48314(586) 843-3815(586) 843-3920 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2024, May 22, 2018 (2 updates tracked since 2018).

About Michigan Primary Care Pllc NPPES

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

MICHIGAN PRIMARY CARE PLLC (NPI 1669799128) is a healthcare organization registered as a specialist in Sterling Heights, Michigan and active in the NPI registry since April 2010. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Eastpointe, and lists Lisa Brown, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1669799128
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMICHIGAN PRIMARY CARE PLLC
Location Address41400 DEQUINDRE RD STE 121Sterling Heights, MI 48314
Mailing Address41400 Dequindre Rd Ste 121Sterling Heights, MI 48314-3751 · (586) 843-3815 · Fax (586) 843-3920
Fax(586) 843-3920
Organization SubpartNo
Authorized OfficialLisa BrownBilling Manager · (586) 251-2095
Enumeration DateApril 23, 2010
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1669799128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in MI · ZP064027 Licensed in MI · DM050196
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301064027 (MI)
41400 DEQUINDRE RD STE 121, Sterling Heights, MI 48314

Secondary Practice Location 1

Location 117000 E 10 Mile RdEastpointe, MI 48021-1263 · Phone (586) 563-5555 · Fax (586) 563-1778

Other Identifiers 1

Medicaid1669799128MI

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

CLIA Laboratory Certificates CMS CLIA 3

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 23D2063593

Michigan Primary Care - Eastpointe · Eastpointe, MI
Active · expires Aug 5, 2027
CLIA Number23D2063593
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorZbigniew Purzycki
Laboratory Phone(586) 563-5555
Laboratory LocationMichigan Primary Care - Eastpointe17000 East 10 Mile Road, Eastpointe, MI 48021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2296917

Michigan Primary Care PLLC Dba Michigan Weight Loss Institute · Sterling Heights, MI
Active · expires Jan 7, 2028
CLIA Number23D2296917
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorRita K. Kathawa
Laboratory Phone(586) 843-3815
Laboratory LocationMichigan Primary Care PLLC Dba Michigan Weight Loss Institute41400 Dequindre Road Suite 105, Sterling Heights, MI 48314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2064522

Michigan Primary Care - Sterling · Sterling Heights, MI
Active · expires Aug 20, 2027
CLIA Number23D2064522
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorZbigniew Purzycki
Laboratory Phone(586) 843-3815
Laboratory LocationMichigan Primary Care - Sterling41400 Dequindre Suite 121, Sterling Heights, MI 48314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Addiction Psychiatry)
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI 48314
Internal Medicine (Obesity Medicine)
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI 48314
Specialist
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI 48314
Internal Medicine
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI 48314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669799128, enumerated as an "organization" on April 23, 2010.

The provider is located at 41400 DEQUINDRE RD STE 121 STERLING HEIGHTS, MI 48314 and the phone number is (586) 843-3815.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.