DAVID G PATTERSON DO PC
NPI 1689867988
Family Medicine in Flat Rock, MI

Active since August 21, 2007CLIA 23D0953798 · Waiver
25620 GIBRALTAR RD, FLAT ROCK, MI 48134(734) 789-9355 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David G Patterson Do Pc NPPES

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

DAVID G PATTERSON DO PC (NPI 1689867988) is a healthcare organization registered as a family medicine in Flat Rock, Michigan and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists David Patterson, President, as its authorized official.

NPPES Registry Identity

NPI1689867988
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID G PATTERSON DO PC
Location Address25620 GIBRALTAR RDFlat Rock, MI 48134-1243
Mailing Address25620 Gibraltar RdFlat Rock, MI 48134-1243 · (734) 789-9355
Organization SubpartNo
Authorized OfficialDavid PattersonPresident · (734) 789-9355
Enumeration DateAugust 21, 2007
Last NPPES UpdateMarch 28, 2008
✔ NPI 1689867988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101012588
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25620 GIBRALTAR RD, Flat Rock, MI 48134

Other Identifiers 1

Medicare UPIN0P29820MI

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

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)

David G Patterson Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20060331000228Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to David G Patterson Do PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1881682821
25620 GIBRALTAR RD
Flat Rock, MI 48134
(734) 789-9355
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1194847038
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-7425
✔ PECOS21 mi
Diagnostic Radiology
NPI 1083667430
7001 ORCHARD LAKE RD SUITE 122
West Bloomfield, MI 48322
(248) 932-5100
✔ PECOS✔ Accepts Medicare31 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 of Waiver 23D0953798

David Patterson Do PC · Flat Rock, MI
Active · expires Nov 25, 2026
CLIA Number23D0953798
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorDavid G. Patterson
Laboratory Phone(734) 789-9355
Laboratory LocationDavid Patterson Do PC25620 Gibraltar Road, Flat Rock, MI 48134
CLIA data matches this NPI record on: Address 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 David G Patterson Do PC's NPI number?

The NPI number for David G Patterson Do PC is 1689867988. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is David G Patterson Do PC located?

David G Patterson Do PC is located at 25620 Gibraltar Rd, Flat Rock, MI 48134. The listed phone number is (734) 789-9355.

What is David G Patterson Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David G Patterson Do PC enrolled in Medicare?

Yes. David G Patterson Do PC is registered in the Medicare PECOS enrollment system.

When is David G Patterson Do PC'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 November 30, 2026. 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 David G Patterson Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to David G Patterson Do PC, in Diagnostic Radiology and Family Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does David G Patterson Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0953798) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David G Patterson Do PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list David G Patterson Do PC 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 David G Patterson Do PC was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.