1. Home
  2. Directory
  3. Michigan
  4. Bloomfield Hills
  5. Internal Medicine
  6. NPI Profile

KINGSWOOD INTERNAL MEDICINE
NPI 1780806810
Internal Medicine in Bloomfield Hills, MI

Active since May 02, 2007CLIA 23D2164348 · Waiver
43097 WOODWARD AVE, SUITE 204, BLOOMFIELD HILLS, MI 48302(248) 334-3136(248) 334-3871 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kingswood Internal Medicine NPPES

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

KINGSWOOD INTERNAL MEDICINE (NPI 1780806810) is a healthcare organization registered as an internal medicine in Bloomfield Hills, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Faiz Mansouor, Partner, as its authorized official.

NPPES Registry Identity

NPI1780806810
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKINGSWOOD INTERNAL MEDICINE
Location Address43097 WOODWARD AVE, SUITE 204Bloomfield Hills, MI 48302-5041
Mailing Address43097 Woodward Ave, Suite 204Bloomfield Hills, MI 48302-5041 · (248) 334-3136 · Fax (248) 334-3871
Phone(248) 334-3136
Fax(248) 334-3871
Organization SubpartNo
Authorized OfficialFaiz MansouorPartner · (248) 334-3136
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 11, 2007
✔ NPI 1780806810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
43097 WOODWARD AVE, Bloomfield Hills, MI 48302
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified0N18280MI

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

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 23D2164348

Kingswood Internal Medicine · Bloomfield Hills, MI
Active · expires Apr 2, 2027
CLIA Number23D2164348
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorImad M. Mansoor
Laboratory Phone(248) 454-1004
Laboratory LocationKingswood Internal Medicine42557 Woodward Avenue Suite 130, Bloomfield Hills, MI 48304
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS,P.C
Pediatrics
43097 WOODWARD AVE, SUITE 201
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 454-9000
DR. APRIL MARIE SARVIS MD
Obstetrics & Gynecology
43097 WOODWARD AVE, STE 200
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 253-0656
DR. CHRISTA SHILLING M.D.
Pediatrics
43097 WOODWARD AVE, SUITE 201
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 454-9000
DEBORAH SPERRY N.P.
Nurse Practitioner (Family)
43097 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 334-0050
DR. KIMBERLEE COLEMAN M.D.
Pediatrics
43097 WOODWARD AVE, STE 201
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 454-9000
OAKLAND MEDICAL SUPPLIES, INC
Durable Medical Equipment & Medical Supplies
43097 WOODWARD AVE, STE.204
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 454-7477
DANNY F WATSON M.D., P.L.C.
Psychiatry & Neurology (Neurology)
43097 WOODWARD AVE, SUITE 101
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 253-9070
MRS. KIMBERLY ANN WELLER RNC
Registered Nurse
43097 WOODWARD AVE, SUITE 201
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 454-9000

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 Kingswood Internal Medicine's NPI number?

The NPI number for Kingswood Internal Medicine is 1780806810. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Kingswood Internal Medicine located?

Kingswood Internal Medicine is located at 43097 Woodward Ave Suite 204, Bloomfield Hills, MI 48302. The listed phone number is (248) 334-3136.

What is Kingswood Internal Medicine's specialty?

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

Does Kingswood Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2164348) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kingswood Internal Medicine was last updated on October 11, 2007. 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.