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INTERNAL MEDICINE ASSOC OF MI PC
NPI 1720109499
Internal Medicine in Southgate, MI

Active since April 02, 2007CLIA 23D0369181 · Waiver
15105 NORTHLINE RD, SOUTHGATE, MI 48195(734) 282-7734(734) 282-7577 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Internal Medicine Assoc Of Mi Pc NPPES

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

INTERNAL MEDICINE ASSOC OF MI PC (NPI 1720109499) is a healthcare organization registered as an internal medicine in Southgate, Michigan and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Jagdish Sachdeva, Owner, as its authorized official.

NPPES Registry Identity

NPI1720109499
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE ASSOC OF MI PC
Location Address15105 NORTHLINE RDSouthgate, MI 48195-2409
Mailing Address15105 Northline RdSouthgate, MI 48195-2409 · (734) 282-7734 · Fax (734) 282-7577
Phone(734) 282-7734
Fax(734) 282-7577
Organization SubpartNo
Authorized OfficialJagdish SachdevaOwner · (734) 282-7734
Enumeration DateApril 2, 2007
Last NPPES UpdateJanuary 13, 2010
✔ NPI 1720109499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15105 NORTHLINE RD, Southgate, MI 48195
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Other Identifiers 2

Medicaid4164914MI
Medicare PIN0Q26263MI

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 23D0369181

Internal Medicine Associates Of Mi · Southgate, MI
Active · expires Mar 5, 2027
CLIA Number23D0369181
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorJagdish K. Sachdeva
Laboratory Phone(734) 282-7734
Laboratory LocationInternal Medicine Associates Of Mi15105 Northline Road, Southgate, MI 48195
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JAGDISH KUMAR SACHDEVA MD
Internal Medicine
15105 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 283-4122
DR. ARPAN BHAKTA MD
Internal Medicine
15105 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 283-4122

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 Internal Medicine Assoc Of Mi PC's NPI number?

The NPI number for Internal Medicine Assoc Of Mi PC is 1720109499. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Internal Medicine Assoc Of Mi PC located?

Internal Medicine Assoc Of Mi PC is located at 15105 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 282-7734.

What is Internal Medicine Assoc Of Mi PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Internal Medicine Assoc Of Mi PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0369181) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine Assoc Of Mi PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Internal Medicine Assoc Of Mi 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 Internal Medicine Assoc Of Mi PC was last updated on January 13, 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.