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PREMIER INTERNISTS
NPI 1679586192
Internal Medicine in Southfield, MI

Active since August 14, 2006CLIA 23D0686434 · Waiver
29201 TELEGRAPH RD, SUITE 404, SOUTHFIELD, MI 48034(248) 355-0880(248) 355-9232 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Internists NPPES

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

PREMIER INTERNISTS (NPI 1679586192) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Geoffrey A Trivax, President, as its authorized official.

NPPES Registry Identity

NPI1679586192
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMMG 1PC
Location Address29201 TELEGRAPH RD, SUITE 404Southfield, MI 48034-1331
Mailing Address29992 Northwestern Hwy Ste CFarmington Hills, MI 48334-3292 · (248) 851-1430 · Fax (248) 851-5182
Phone(248) 355-0880
Fax(248) 355-9232
Organization SubpartNo
Authorized OfficialGeoffrey A TrivaxPresident · (248) 354-9666
Enumeration DateAugust 14, 2006
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1679586192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
29201 TELEGRAPH RD, Southfield, MI 48034
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Other Names 1

Doing Business AsPremier Internists

Other Identifiers 1

Other700F314390MI · Blue Shield Group

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Internists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Premier Internists, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology13
Cardiovascular Disease (Cardiology)6
Interventional Cardiology3
Internal Medicine2
Interventional Radiology2
Physical Medicine and Rehabilitation2
Pulmonary Disease1

Nearest to this location (20)

See all 29
Herman Kado, M.D.
Cardiovascular Disease (Cardiology)
NPI 1033367362
28625 NORTHWESTERN HWY SUITE 150
Southfield, MI 48034
(248) 587-2300
✔ PECOS✔ Accepts Medicare0.9 mi
Stephen Gunther, MD
Cardiovascular Disease (Cardiology)
NPI 1205942182
26400 W 12 MILE RD SUITE 120
Southfield, MI 48034
(248) 304-3200
✔ PECOS1.0 mi
Justin Trivax, M.D.
Interventional Cardiology
NPI 1174566095
31500 TELEGRAPH RD SUITE 115
Bingham Farms, MI 48025
(248) 594-4913
✔ PECOS✔ Accepts Medicare1.1 mi
Steven Korotkin, MD
Cardiovascular Disease (Cardiology)
NPI 1396736179
32270 TELEGRAPH RD STE 100
Bingham Farms, MI 48025
(248) 258-2888
✔ PECOS✔ Accepts Medicare1.5 mi
Michael Laffer, D.O.
Pulmonary Disease
NPI 1639153497
32255 NORTHWESTERN HWY STE 130B
Farmington Hills, MI 48334
(248) 419-3505
✔ PECOS3.4 mi
Dustin Feldman, D.O.
Interventional Cardiology
NPI 1689894867
32255 NORTHWESTERN HWY STE 50
Farmington Hills, MI 48334
(947) 227-8420
✔ PECOS✔ Accepts Medicare3.4 mi
Jonathan Olsen, M.D.
Diagnostic Radiology
NPI 1700198561
32255 NORTHWESTERN HWY STE 135
Farmington Hills, MI 48334
(947) 228-5500
✔ PECOS✔ Accepts Medicare3.4 mi
Stephen Vartanian, MD
Interventional Radiology
NPI 1790990919
32255 NORTHWESTERN HWY STE 135
Farmington Hills, MI 48334
(947) 228-5500
✔ PECOS✔ Accepts Medicare3.4 mi
Eric Greenberg, DO
Cardiovascular Disease (Cardiology)
NPI 1689812489
32255 NORTHWESTERN HWY STE 115
Farmington Hills, MI 48334
(248) 587-2300
✔ PECOS✔ Accepts Medicare3.4 mi
James Lyddon, DO
Diagnostic Radiology
NPI 1992770986
32255 NORTHWESTERN HWY STE 100
Farmington Hills, MI 48334
(248) 945-0000
✔ PECOS✔ Accepts Medicare3.4 mi
Daya Vora, M.D.
Diagnostic Radiology
NPI 1023218153
32255 NORTHWESTERN HWY STE 100
Farmington Hills, MI 48334
(248) 945-0000
✔ PECOS✔ Accepts Medicare3.4 mi
George Dirani, M.D
Interventional Cardiology
NPI 1619310885
32255 NORTHWESTERN HWY STE 115
Farmington Hills, MI 48334
(248) 587-2300
✔ PECOS✔ Accepts Medicare3.4 mi
Harvey Sabbota, D.O.
Internal Medicine
NPI 1306836390
32255 NORTHWESTERN HWY STE 130
Farmington Hills, MI 48334
(248) 723-5880
✔ PECOS3.4 mi
Eugene Tryciecky, DO
Diagnostic Radiology
NPI 1467522961
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(248) 471-8371
✔ PECOS✔ Accepts Medicare4.4 mi
Syed Jafri, MD
Diagnostic Radiology
NPI 1467412221
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 551-6069
✔ PECOS✔ Accepts Medicare4.9 mi
Adam Tawney, MD
Cardiovascular Disease (Cardiology)
NPI 1962865147
3601 W 13 MILE RD
Royal Oak, MI 48073
(313) 473-1000
✔ PECOS✔ Accepts Medicare4.9 mi
Michael Savin, M.D.
Interventional Radiology
NPI 1821059049
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-6064
✔ PECOS✔ Accepts Medicare4.9 mi
Anindya Roy, MD
Diagnostic Radiology
NPI 1083674071
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 423-2481
✔ PECOS✔ Accepts Medicare5.0 mi
Garrett Walworth, M.D.
Diagnostic Radiology
NPI 1598794927
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-6064
✔ PECOS✔ Accepts Medicare5.0 mi
Roshni Shah, D.O.
Cardiovascular Disease (Cardiology)
NPI 1962705004
22250 PROVIDENCE DR STE 705
Southfield, MI 48075
(248) 552-9858
✔ PECOS✔ Accepts Medicare5.3 mi
See all 29 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

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 23D0686434

Michigan Healthcare Professionals PC Dba Premier Internists · Farmington Hills, MI
Active · expires Mar 16, 2028
CLIA Number23D0686434
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorMichael G. Kizy
Laboratory Phone(248) 355-0880
Laboratory LocationMichigan Healthcare Professionals PC Dba Premier Internists32255 Northwestern Highway Suite 180, Farmington Hills, MI 48334
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 Mmg 1pc's NPI number?

The NPI number for Mmg 1pc is 1679586192. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Premier Internists.

Where is Mmg 1pc located?

Mmg 1pc is located at 29201 Telegraph Rd Suite 404, Southfield, MI 48034. The listed phone number is (248) 355-0880.

What is Mmg 1pc's specialty?

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

Is Mmg 1pc enrolled in Medicare?

Yes. Mmg 1pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mmg 1pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to Mmg 1pc. 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 Diagnostic Radiology (13), Cardiovascular Disease (Cardiology) (6) and Interventional Cardiology (3). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mmg 1pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0686434) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mmg 1pc was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.