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INNOVATION MEDICINE, PLLC
NPI 1720511405
Internal Medicine in Roseville, MI

Active since April 10, 2017
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066(586) 772-2600 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2023, Apr 10, 2017 (2 updates tracked since 2017).

About Innovation Medicine, Pllc NPPES

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

INNOVATION MEDICINE, PLLC (NPI 1720511405) is a healthcare organization registered as an internal medicine in Roseville, Michigan and active in the NPI registry since April 2017. The organization lists Basem Almasri, Physician, as its authorized official.

NPPES Registry Identity

NPI1720511405
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINNOVATION MEDICINE, PLLC
Location Address25710 KELLY RD, STE 3Roseville, MI 48066-4959
Mailing Address25710 Kelly Rd, Ste 3Roseville, MI 48066-4959
Phone(586) 772-2600
Organization SubpartNo
Authorized OfficialBasem AlmasriPhysician · (586) 772-2600
Enumeration DateApril 10, 2017
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1720511405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
25710 KELLY RD, Roseville, MI 48066
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovation Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Innovation Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Aaron Achatz, FNP-C
Nurse Practitioner
NPI 1194580191
25710 KELLY RD STE 1
Roseville, MI 48066
(734) 218-4232
✔ PECOS✔ Accepts MedicareSame address
Osama Nunu, MD
Internal Medicine
NPI 1831191170
25710 KELLY RD STE 1
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Borivoje Trifunovic, MD
Internal Medicine
NPI 1730167644
25710 KELLY RD SUITE 3
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Basem Almasri, M.D.
Family Practice
NPI 1326040510
25710 KELLY RD STE 3
Roseville, MI 48066
(586) 772-2600
✔ PECOS✔ Accepts MedicareSame address
Rudy Vervaeke, M.D.
Internal Medicine
NPI 1922108927
21420 HARPER AVE SUITE 2
Saint Clair Shores, MI 48080
(586) 775-7400
✔ PECOS✔ Accepts Medicare2.4 mi
Susanne Garay, FNP
Nurse Practitioner
NPI 1952867905
18000 W 9 MILE RD STE 525
Southfield, MI 48075
(248) 327-6196
✔ PECOS✔ Accepts Medicare16 mi
Bryce Bowers, DO
Family Practice
NPI 1689233470
200 MERCY CIRCLE
Camp Pendleton, CA 92055
(760) 719-3675
✔ PECOS✔ Accepts Medicare1,974 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Innovation Medicine, PLLC's NPI number?

The NPI number for Innovation Medicine, PLLC is 1720511405. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Innovation Medicine, PLLC located?

Innovation Medicine, PLLC is located at 25710 Kelly Rd Ste 3, Roseville, MI 48066. The listed phone number is (586) 772-2600.

What is Innovation Medicine, PLLC's specialty?

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

Is Innovation Medicine, PLLC enrolled in Medicare?

Yes. Innovation Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovation Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Innovation 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. The largest specialties are Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovation 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 Innovation 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 Innovation Medicine, PLLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.