ELITE FAMILY MEDICINE PLLC
NPI 1699164699
Clinic/Center - Primary Care in Sterling Heights, MI

Active since January 13, 2015CLIA 23D2092656 · Waiver
33200 DEQUINDRE RD, SUIT 200, STERLING HEIGHTS, MI 48310(586) 977-0200(586) 977-0000 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Family Medicine Pllc NPPES

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

ELITE FAMILY MEDICINE PLLC (NPI 1699164699) is a healthcare organization registered as a primary care in Sterling Heights, Michigan and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Fawaz Hasso, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699164699
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELITE FAMILY MEDICINE PLLC
Location Address33200 DEQUINDRE RD, SUIT 200Sterling Heights, MI 48310-5967
Mailing Address1512 Hamlet DrTroy, MI 48084-5701
Fax(586) 977-0000
Organization SubpartNo
Authorized OfficialFawaz HassoMedical Director · (248) 259-1183
Enumeration DateJanuary 13, 2015
Last NPPES UpdateApril 21, 2015
✔ NPI 1699164699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in MI · 4301083265✔ Licensed in MI · 4301088431
33200 DEQUINDRE RD, Sterling Heights, MI 48310

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)

Elite Family Medicine Pllc 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 Elite Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1043426695
33200 DEQUINDRE RD SUITE 200
Sterling Heights, MI 48310
(586) 977-0200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972647196
33200 DEQUINDRE RD SUITE 200
Sterling Heights, MI 48310
(586) 977-0200
✔ 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 23D2092656

Elite Family Medicine · Sterling Heights, MI
Active · expires Mar 9, 2027
CLIA Number23D2092656
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorFawaz M. Hasso
Laboratory Phone(586) 977-0200
Laboratory LocationElite Family Medicine33200 Dequindre Suite 200, Sterling Heights, MI 48310
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 Elite Family Medicine PLLC's NPI number?

The NPI number for Elite Family Medicine PLLC is 1699164699. It was assigned to this organization in the NPPES registry on January 13, 2015.

Where is Elite Family Medicine PLLC located?

Elite Family Medicine PLLC is located at 33200 Dequindre Rd Suit 200, Sterling Heights, MI 48310. The listed phone number is (586) 977-0200.

What is Elite Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Elite Family Medicine PLLC enrolled in Medicare?

Yes. Elite Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Elite Family Medicine PLLC. 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 Elite Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2092656) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Family Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elite Family Medicine PLLC 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 Elite Family Medicine PLLC was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.