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SYLVAN LAKE FAMILY PRACTICE PLC
NPI 1699880989
Family Medicine in Sylvan Lake, MI

Active since August 20, 2006CLIA 23D1030893 · Waiver
2111 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320(248) 451-1092(248) 451-1096 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sylvan Lake Family Practice Plc NPPES

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

SYLVAN LAKE FAMILY PRACTICE PLC (NPI 1699880989) is a healthcare organization registered as a family medicine in Sylvan Lake, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Prakash Sanghvi, Owner, as its authorized official.

NPPES Registry Identity

NPI1699880989
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYLVAN LAKE FAMILY PRACTICE PLC
Location Address2111 ORCHARD LAKE RDSylvan Lake, MI 48320-1785
Mailing AddressPo Box 673423Detroit, MI 48267-0001 · (248) 451-1092 · Fax (248) 461-1096
Phone(248) 451-1092
Fax(248) 451-1096
Organization SubpartNo
Authorized OfficialPrakash SanghviOwner · (248) 451-1092
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1699880989 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 · PS066270
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.
2111 ORCHARD LAKE RD, Sylvan Lake, MI 48320
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Other Names 1

Doing Business AsSylvan Lake Family Practice Plc

Other Identifiers 4

Medicaid4743597MI
OtherG73042MI · Upin
Other0806348761MI · Bcbs
Other1730136961MI · Id Npi

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D1030893

Sylvan Lake Family Practice Plc · Sylvan Lake, MI
Active · expires Sep 19, 2026
CLIA Number23D1030893
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorPrakosh Sanghvi MD
Laboratory Phone(248) 451-1092
Laboratory LocationSylvan Lake Family Practice Plc2140 Orchard Lake Road, Sylvan Lake, MI 48320
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIRTI PRAKASH SANGHVI M.D.
Family Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 451-1092
DR. ASHOK GUPTA M.D.
Internal Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 681-6577
DEAF COMMUNITY ADVOCACY NETWORK, INC.
Case Management
2111 ORCHARD LAKE RD, SUITE 101
SYLVAN LAKE, MI 48320
Oakland County (248) 332-3331
PRAKASH N SANGHVI M.D.
Family Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 451-1092

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 Sylvan Lake Family Practice Plc's NPI number?

The NPI number for Sylvan Lake Family Practice Plc is 1699880989. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Sylvan Lake Family Practice Plc located?

Sylvan Lake Family Practice Plc is located at 2111 Orchard Lake Rd, Sylvan Lake, MI 48320. The listed phone number is (248) 451-1092.

What is Sylvan Lake Family Practice Plc's specialty?

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

Does Sylvan Lake Family Practice Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1030893) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sylvan Lake Family Practice Plc 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 Sylvan Lake Family Practice Plc 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 Sylvan Lake Family Practice Plc was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.