NORTHSIDE MEDICAL CENTER
NPI 1780819664
Family Medicine in Detroit, MI
About Northside Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE MEDICAL CENTER (NPI 1780819664) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since May 2009. The organization lists Lesley Willbrandt, Director Shared Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northside Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Northside Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Farmington Hills, MI 48336
Farmington Hills, MI 48336
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 Botsford General Hospital's NPI number?
The NPI number for Botsford General Hospital is 1780819664. It was assigned to this organization in the NPPES registry on May 21, 2009. The provider is doing business as Northside Medical Center.
Where is Botsford General Hospital located?
Botsford General Hospital is located at 14001 Greenfield, Detroit, MI 48227. The listed phone number is (313) 273-1200.
What is Botsford General Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Botsford General Hospital enrolled in Medicare?
Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.
When is Botsford General Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Botsford General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Botsford General Hospital. 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 (4), Family Practice (1) and Geriatric Medicine (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Botsford General Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Botsford General Hospital 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 Botsford General Hospital was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Northside Medical Center · NPI 1780819664
Family Medicine organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since May 21, 2009.
## Identity
- **NPI:** 1780819664 (Entity type: Organization)
- **Enumerated:** May 21, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Botsford General Hospital
- **Organization subpart:** Yes (part of Botsford General Hospital)
- **Authorized official:** Lesley Willbrandt, DIRECTOR SHARED SERVICES
## Practice location
- **Address:** 14001 GREENFIELD, Detroit, MI 48227-2101
- **Phone:** (313) 273-1200 · **Fax:** (313) 273-8130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Family Practice (1), Geriatric Medicine (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780819664) · Data from the CMS NPPES public registry.