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CORE CARDIOVASCULAR CLINIC, PLLC
NPI 1750131371
Internal Medicine - Interventional Cardiology in Troy, MI

Active since March 26, 2024
1500 W BIG BEAVER RD STE 108, TROY, MI 48084(248) 878-3171(248) 928-0916 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Core Cardiovascular Clinic, Pllc NPPES

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

CORE CARDIOVASCULAR CLINIC, PLLC (NPI 1750131371) is a healthcare organization registered as an interventional cardiology in Troy, Michigan and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Livonia and lists Ghassan Dalloul, Owner, as its authorized official.

NPPES Registry Identity

NPI1750131371
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameCORE CARDIOVASCULAR CLINIC, PLLC
Location Address1500 W BIG BEAVER RD STE 108Troy, MI 48084-3522
Mailing Address1500 W Big Beaver Rd Ste 108Troy, MI 48084-3522
Phone(248) 878-3171
Fax(248) 928-0916
Organization SubpartNo
Authorized OfficialGhassan DalloulOwner · (586) 805-1500
Enumeration DateMarch 26, 2024
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1750131371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1500 W BIG BEAVER RD STE 108, Troy, MI 48084
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Secondary Practice Location 1

Location 137799 Professional Center Dr Ste 105Livonia, MI 48154-1123 · Phone (248) 878-3171 · Fax (248) 928-0916

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Core Cardiovascular Clinic, 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 Core Cardiovascular Clinic, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ghassan Dalloul, MD
Interventional Cardiology
NPI 1447466016
37799 PROFESSIONAL CENTER DR STE 105
Livonia, MI 48154
(248) 878-3171
✔ PECOS✔ Accepts Medicare17 mi
Colleen Bonser, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1801764949
209 S STATE ST
Ann Arbor, MI 48104
(734) 769-1804
✔ PECOS✔ Accepts Medicare35 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 Core Cardiovascular Clinic, PLLC's NPI number?

The NPI number for Core Cardiovascular Clinic, PLLC is 1750131371. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Core Cardiovascular Clinic, PLLC located?

Core Cardiovascular Clinic, PLLC is located at 1500 W Big Beaver Rd Ste 108, Troy, MI 48084. The listed phone number is (248) 878-3171.

What is Core Cardiovascular Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Core Cardiovascular Clinic, PLLC enrolled in Medicare?

Yes. Core Cardiovascular Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Core Cardiovascular Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Core Cardiovascular Clinic, PLLC, in Interventional Cardiology and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Core Cardiovascular Clinic, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Core Cardiovascular Clinic, 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 Core Cardiovascular Clinic, PLLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.