DEON D MIDDLEBROOK M D PC
NPI 1689885535
Medical Genetics, Ph.D. Medical Genetics in Detroit, MI

Active since May 24, 2007CLIA 23D2144251 · Waiver
20176 LIVERNOIS AVE, DETROIT, MI 48221(313) 864-3000(313) 864-5423 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Deon D Middlebrook M D Pc NPPES

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

DEON D MIDDLEBROOK M D PC (NPI 1689885535) is a healthcare organization registered as a medical genetics, ph.d. medical genetics in Detroit, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Deon Middlebrook, President, as its authorized official.

NPPES Registry Identity

NPI1689885535
Entity TypeOrganization
Primary Taxonomy170100000X
Legal Business NameDEON D MIDDLEBROOK M D PC
Location Address20176 LIVERNOIS AVEDetroit, MI 48221-1346
Mailing Address20176 Livernois AveDetroit, MI 48221-1346 · (313) 864-7000 · Fax (313) 864-5769
Fax(313) 864-5423
Organization SubpartNo
Authorized OfficialDeon MiddlebrookPresident · (313) 864-7000
Enumeration DateMay 24, 2007
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1689885535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License✔ Licensed in MI · DM053010
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
20176 LIVERNOIS AVE, Detroit, MI 48221

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deon D Middlebrook M D Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Deon D Middlebrook M D PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1508898123
20176 LIVERNOIS AVE
Detroit, MI 48221
(313) 864-7000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568494185
20176 LIVERNOIS AVE
Detroit, MI 48221
(313) 864-3000
✔ PECOS✔ Accepts MedicareSame address

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 23D2144251

Deon D Middlebrook MD PC · Detroit, MI
Active · expires Feb 12, 2028
CLIA Number23D2144251
Laboratory TypeUrgent Care
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorDeon D. Middlebrook
Laboratory Phone(313) 864-3000
Laboratory LocationDeon D Middlebrook MD PC20176 Livernois Avenue Suite 100, Detroit, MI 48221
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 Deon D Middlebrook M D PC's NPI number?

The NPI number for Deon D Middlebrook M D PC is 1689885535. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Deon D Middlebrook M D PC located?

Deon D Middlebrook M D PC is located at 20176 Livernois Ave, Detroit, MI 48221. The listed phone number is (313) 864-3000.

What is Deon D Middlebrook M D PC's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Is Deon D Middlebrook M D PC enrolled in Medicare?

Yes. Deon D Middlebrook M D PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deon D Middlebrook M D PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Deon D Middlebrook M D PC, in General 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deon D Middlebrook M D PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2144251) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deon D Middlebrook M D PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Deon D Middlebrook M D 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 Deon D Middlebrook M D PC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.