ALPHA AND OMEGA PRIMARY HEALTH CARE INC
NPI 1770752495
Internal Medicine in Detroit, MI

Q: What is Alpha And Omega Primary Health Care Inc's specialty?

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

Active since February 27, 2008

15865 WYOMING ST, DETROIT, MI 48238(313) 342-2576 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Alpha And Omega Primary Health Care Inc NPPES

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

ALPHA AND OMEGA PRIMARY HEALTH CARE INC (NPI 1770752495) is a healthcare organization registered as an internal medicine in Detroit, Michigan and active in the NPI registry since February 2008. The organization lists Rickie Hardaway, Owner, as its authorized official.

NPPES Registry Identity

NPI1770752495

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameALPHA AND OMEGA PRIMARY HEALTH CARE INC

Location Address15865 WYOMING STDetroit, MI 48238-1136

Mailing Address15865 Wyoming StDetroit, MI 48238-1136

Phone(313) 342-2576

Organization SubpartNo

Authorized OfficialRickie HardawayOwner · (313) 342-2576

Enumeration DateFebruary 27, 2008

Last NPPES UpdateApril 29, 2008

✔ NPI 1770752495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301061729

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 ListedPediatricsTaxonomy 208000000X · License 4301061729 (MI)

15865 WYOMING ST, Detroit, MI 48238

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Other Identifiers 2

Medicare PIN0M80650MI

Medicaid1316903198MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alpha And Omega Primary Health Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alpha And Omega Primary Health Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rickie Hardaway, MD

Internal Medicine

NPI 1316903198

15865 WYOMING
Detroit, MI 48238

(313) 342-2576

✔ PECOSSame address

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 Alpha And Omega Primary Health Care Inc's NPI number?

The NPI number for Alpha And Omega Primary Health Care Inc is 1770752495. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Alpha And Omega Primary Health Care Inc located?

Alpha And Omega Primary Health Care Inc is located at 15865 Wyoming St, Detroit, MI 48238. The listed phone number is (313) 342-2576.

What is Alpha And Omega Primary Health Care Inc's specialty?

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

Is Alpha And Omega Primary Health Care Inc enrolled in Medicare?

Yes. Alpha And Omega Primary Health Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alpha And Omega Primary Health Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Alpha And Omega Primary Health Care Inc. 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.

When was this NPI record last updated?

The NPPES record for Alpha And Omega Primary Health Care Inc was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.