INTERNAL MEDICINE ASSOC OF MI PC
NPI 1720109499
Internal Medicine in Southgate, MI
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Internal Medicine Assoc Of Mi Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Internal Medicine Assoc Of Mi PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 23D0369181
Internal Medicine Associates Of Mi · Southgate, MIFrequently 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.
Is Internal Medicine Assoc Of Mi PC enrolled in Medicare?
Yes. Internal Medicine Assoc Of Mi PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Internal Medicine Assoc Of Mi PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Internal Medicine Assoc Of Mi PC. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Internal Medicine Assoc Of Mi Pc · NPI 1720109499
Internal Medicine organization in Southgate, Michigan. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1720109499 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jagdish Sachdeva, OWNER
## Practice location
- **Address:** 15105 NORTHLINE RD, Southgate, MI 48195-2409
- **Phone:** (734) 282-7734 · **Fax:** (734) 282-7577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2010
- **Other identifiers:** Medicaid 4164914 (MI); Medicare PIN 0Q26263 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720109499) · Data from the CMS NPPES public registry.