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PARK PLAZA MD PC
NPI 1790545390
Internal Medicine in Flint, MI

Active since March 20, 2024CLIA 23D2310712 · Waiver
G1071 N BALLENGER HWY STE 206, FLINT, MI 48504(810) 234-1651(810) 600-3043 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Park Plaza Md Pc NPPES

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

PARK PLAZA MD PC (NPI 1790545390) is a healthcare organization registered as an internal medicine in Flint, Michigan and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Ahmed A Arif, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790545390
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK PLAZA MD PC
Location AddressG1071 N BALLENGER HWY STE 206Flint, MI 48504-4453
Mailing AddressG1071 N Ballenger Hwy Ste 206Flint, MI 48504-4453 · (810) 234-1651 · Fax (810) 600-3043
Phone(810) 234-1651
Fax(810) 600-3043
Organization SubpartNo
Authorized OfficialAhmed A ArifMedical Director · (810) 234-1651
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1790545390 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.
G1071 N BALLENGER HWY STE 206, Flint, MI 48504
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Park Plaza Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Park Plaza MD PC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ahmed Arif, MD
Internal Medicine
NPI 1841249836
1201 FLUSHING RD STE 1A
Flint, MI 48504
(810) 235-8203
✔ PECOS✔ Accepts Medicare1.3 mi
Jamie Braden, FNP-C
Nurse Practitioner
NPI 1053882209
1201 FLUSHING RD
Flint, MI 48504
(810) 235-8532
✔ PECOS1.3 mi
Abdul Haleem Kazmi, MD
Internal Medicine
NPI 1164928230
1201 FLUSHING RD
Flint, MI 48504
(810) 235-8532
✔ PECOS✔ Accepts Medicare1.3 mi
Mohammed Syed, MD
Internal Medicine
NPI 1639210669
1201 FLUSHING RD SUITE 1
Flint, MI 48504
(810) 235-8532
✔ PECOS✔ Accepts Medicare1.3 mi
Ahmed Qadir, MD
Family Practice
NPI 1669033700
G1071 N BALLENGER HWY STE 206
Flint, MI 48504
(810) 234-1651
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 23D2310712

Park Plaza MD PC · Flint, MI
Active · expires Sep 8, 2028
CLIA Number23D2310712
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorAhmed A. Arif
Laboratory Phone(810) 234-1651
Laboratory LocationPark Plaza MD PCG1071 N Ballenger Highway Suite 206, Flint, MI 48504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Park Plaza MD PC's NPI number?

The NPI number for Park Plaza MD PC is 1790545390. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Park Plaza MD PC located?

Park Plaza MD PC is located at G1071 N Ballenger Hwy Ste 206, Flint, MI 48504. The listed phone number is (810) 234-1651.

What is Park Plaza MD PC's specialty?

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

Is Park Plaza MD PC enrolled in Medicare?

Yes. Park Plaza MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Plaza MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Park Plaza MD PC. 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 (3), Family Practice (1) and Nurse Practitioner (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Park Plaza MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2310712) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Park Plaza MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Park Plaza MD PC 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 Park Plaza MD PC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.