MICHIGAN SPECIALTY CLINIC PLLC
NPI 1760700660
Specialist in Dearborn, MI

NPI Status: Active since May 17, 2010

Contact Information

13530 MICHIGAN AVE
SUITE 120
DEARBORN, MI
ZIP 48126
Phone: (313) 945-9188
Fax: (313) 945-9184

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  • Organization
  • Specialist
  • Accepts Insurance

About MICHIGAN SPECIALTY CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Michigan Specialty Clinic Pllc, a provider established in Dearborn, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1760700660 assigned on May 2010. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Michigan Specialty Clinic Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Fatina Masri M.d. (Owner)

NPI
1760700660
Provider Name
MICHIGAN SPECIALTY CLINIC PLLC
Entity Type
Organization
Location Address
13530 MICHIGAN AVE SUITE 120 DEARBORN, MI 48126
Location Phone
(313) 945-9188
Location Fax
(313) 945-9184
Mailing Address
13530 MICHIGAN AVE STE 400 DEARBORN, MI 48126
Mailing Phone
(313) 945-9188
Mailing Fax
(313) 945-9184
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2010
Last Update Date
03-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

4301052487 (MI)
2207YS0012XAllopathic & Osteopathic Physicians

Otolaryngology
Sleep Medicine

 
3207YX0007XAllopathic & Osteopathic Physicians

Otolaryngology
Plastic Surgery within the Head & Neck

4301052487 (MI)
4207YX0905XAllopathic & Osteopathic Physicians

Otolaryngology
Otolaryngology/Facial Plastic Surgery

 
5208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

4301052487 (MI)
62086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

4301052487 (MI)
7291U00000XLaboratories

Clinical Medical Laboratory

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FATINA MASRI M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(313) 945-9188

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
700H269700OTHER (01)BCN GROUP
700H269700OTHER (01)MIBCBS GROUP
1760800660MEDICAID (05)MI 
DS8165OTHER (01)MIRAILROAD MEDICARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760700660, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 4 + 0 + 0 + 6 + 1 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1760700660.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
13530 MICHIGAN AVE
DEARBORN, MI 48126
Physical Therapist
13530 MICHIGAN AVE, SUITE 150
DEARBORN, MI 48126
Home Health
13530 MICHIGAN AVE, STE 328
DEARBORN, MI 48126
Clinic/Center (Ambulatory Surgical)
13530 MICHIGAN AVE, SUITE 150
DEARBORN, MI 48126
Clinic/Center (Sleep Disorder Diagnostic)
13530 MICHIGAN AVE, SUITE 130
DEARBORN, MI 48126
Clinic/Center (Radiology, Mobile)
13530 MICHIGAN AVE, SUITE 302
DEARBORN, MI 48126
Optometrist
13530 MICHIGAN AVE
DEARBORN, MI 48126
Clinic/Center (Ambulatory Surgical)
13530 MICHIGAN AVE, SUITE 100
DEARBORN, MI 48126
Clinical Medical Laboratory
13530 MICHIGAN AVE, SUITE 248
DEARBORN, MI 48126
Clinical Medical Laboratory
13530 MICHIGAN AVE, SUITE 240
DEARBORN, MI 48126
Clinic/Center (Urgent Care)
13530 MICHIGAN AVE
DEARBORN, MI 48126
General Practice
13530 MICHIGAN AVE, SUITE 400
DEARBORN, MI 48126
Pain Medicine (Interventional Pain Medicine)
13530 MICHIGAN AVE
DEARBORN, MI 48126
Optometrist
13530 MICHIGAN AVE
DEARBORN, MI 48126
Pain Medicine (Interventional Pain Medicine)
13530 MICHIGAN AVE, SUITE 245
DEARBORN, MI 48126
Pain Medicine (Interventional Pain Medicine)
13530 MICHIGAN AVE, SUITE 310
DEARBORN, MI 48126
Durable Medical Equipment & Medical Supplies
13530 MICHIGAN AVE, SUITE L2
DEARBORN, MI 48126
Radiology (Diagnostic Neuroimaging)
13530 MICHIGAN AVE, STE 101
DEARBORN, MI 48126
Clinic/Center (Pain)
13530 MICHIGAN AVE, STE 310
DEARBORN, MI 48126
Clinic/Center
13530 MICHIGAN AVE, GROUND FLOOR
DEARBORN, MI 48126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760700660, enumerated as an "organization" on May 17, 2010.

The provider is located at 13530 MICHIGAN AVE SUITE 120 DEARBORN, MI 48126 and the phone number is (313) 945-9188.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.