MICHIGAN NEUROLOGY, P.L.L.C.
NPI 1689879629
Specialist in Mount Clemens, MI
About Michigan Neurology, P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN NEUROLOGY, P.L.L.C. (NPI 1689879629) is a healthcare organization registered as a specialist in Mount Clemens, Michigan and active in the NPI registry since June 2007. The organization lists Julie Anne-marie Burnham, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Michigan Neurology, P.l.l.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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Michigan Neurology, P.L.L.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Michigan Neurology, P.L.L.C.'s NPI number?
The NPI number for Michigan Neurology, P.L.L.C. is 1689879629. It was assigned to this organization in the NPPES registry on June 19, 2007.
Where is Michigan Neurology, P.L.L.C. located?
Michigan Neurology, P.L.L.C. is located at 1030 Harrington St Suite 205, Mount Clemens, MI 48043. The listed phone number is (586) 493-3188.
What is Michigan Neurology, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Michigan Neurology, P.L.L.C. enrolled in Medicare?
Yes. Michigan Neurology, P.L.L.C. is registered in the Medicare PECOS enrollment system.
When is Michigan Neurology, P.L.L.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 Michigan Neurology, P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Michigan Neurology, P.L.L.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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Michigan Neurology, P.L.L.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Neurology, P.L.L.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 Michigan Neurology, P.L.L.C. was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Michigan Neurology, P.l.l.c. · NPI 1689879629
Specialist organization in Mount Clemens, Michigan. Organization record, active in the CMS NPPES registry since June 19, 2007.
## Identity
- **NPI:** 1689879629 (Entity type: Organization)
- **Enumerated:** June 19, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Julie Burnham, PHYSICIAN
## Practice location
- **Address:** 1030 HARRINGTON ST, SUITE 205, Mount Clemens, MI 48043-2967
- **Phone:** (586) 493-3188 · **Fax:** (586) 493-3191
## 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:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2010
- **Other identifiers:** Medicare ID-Type Unspecified ON61000 (MI); Medicaid 4461374 (MI); Medicare UPIN G76123 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1689879629) · Data from the CMS NPPES public registry.