ST MARY MERCY PHYSICIAN PRACTICES
NPI 1801303086
Family Medicine in Detroit, MI

Active since January 09, 2018
5555 CONNER ST STE 2691, DETROIT, MI 48213(313) 692-8400(313) 692-8431 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Jan 9, 2018 (2 updates tracked since 2018).

About St Mary Mercy Physician Practices NPPES

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

ST MARY MERCY PHYSICIAN PRACTICES (NPI 1801303086) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since January 2018. The organization lists Ariana Grace Raymond, Manager Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1801303086
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST MARY MERCY PHYSICIAN PRACTICES
Location Address5555 CONNER ST STE 2691Detroit, MI 48213-3812
Mailing Address14555 Levan Rd Ste 310Livonia, MI 48154-5085 · (734) 655-2989 · Fax (734) 655-8590
Fax(313) 692-8431
Organization SubpartNo
Authorized OfficialAriana Grace RaymondManager Provider Enrollment · (734) 343-1466
Enumeration DateJanuary 9, 2018
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1801303086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5555 CONNER ST STE 2691, Detroit, MI 48213

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

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)

St Mary Mercy Physician Practices is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080425000614Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to St Mary Mercy Physician Practices, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Psychiatry13
Family Practice12
Nurse Practitioner12
Internal Medicine9
General Surgery4
Clinical Social Worker3
Pediatric Medicine2
Cardiovascular Disease (Cardiology)1
3 other specialties3

Nearest to this location (20)

See all 59
Nurse Practitioner
NPI 1891951711
5555 CONNER ST SUITE 2691
Detroit, MI 48213
(313) 579-1182
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1821191180
5555 CONNER ST SUITE 2691
Detroit, MI 48213
(313) 579-4000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1821180274
5555 CONNER SUITE 2691
Detroit, MI 48213
(313) 579-1182
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1609884626
5555 CONNER STREET STE 2691
Detroit, MI 48213
(313) 579-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1265552004
5555 CONNER AVE. SUITE 2691
Detroit, MI 48213
(313) 692-8400
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1205229036
12800 E WARREN AVE
Detroit, MI 48215
(313) 308-1400
✔ PECOS0.7 mi
Pediatric Medicine
NPI 1699933721
4201 SAINT ANTOINE ST SUITE 9D
Detroit, MI 48201
(313) 966-5187
✔ PECOS✔ Accepts Medicare4.5 mi
Pediatric Medicine
NPI 1427256460
4201 SAINT ANTOINE ST UHC 5C
Detroit, MI 48201
(313) 577-4342
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1093248916
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2413
✔ PECOS✔ Accepts Medicare5.5 mi
Psychiatry
NPI 1972921757
2799 W GRAND BLVD
Detroit, MI 48202
(248) 918-9910
✔ PECOS✔ Accepts Medicare5.5 mi
Psychiatry
NPI 1326198276
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-8114
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1689237067
1355 OAKMAN BLVD
Detroit, MI 48238
(313) 758-6100
✔ PECOS7.1 mi
Family Practice
NPI 1376664813
27351 DEQUINDRE RD
Madison Heights, MI 48071
(248) 967-7795
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1467480186
1 AMERICAN RD
Dearborn, MI 48126
(313) 322-1131
✔ PECOS11 mi
Family Practice
NPI 1457511040
21040 GREENFIELD RD
Oak Park, MI 48237
(248) 967-6538
✔ PECOS✔ Accepts Medicare12 mi
Psychiatry
NPI 1922195999
2525 CROOKS RD STE 100
Troy, MI 48084
(248) 740-9360
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1447754627
19000 ST JOES PKWY STE 200
Livonia, MI 48152
(342) 133-6857
✔ PECOS✔ Accepts Medicare20 mi
Obstetrics/Gynecology
NPI 1568447050
19000 ST. JOE'S PARKWAY STE 200
Livonia, MI 48152
(734) 213-3685
✔ PECOS✔ Accepts Medicare20 mi
Cardiovascular Disease (Cardiology)
NPI 1174571947
20000 FARMINGTON RD BLDG E
Livonia, MI 48152
(248) 474-1144
✔ PECOS✔ Accepts Medicare20 mi
Endocrinology
NPI 1851585582
20206 FARMINGTON RD
Livonia, MI 48152
(248) 476-4724
✔ PECOS✔ Accepts Medicare20 mi
See all 59 clinicians

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 St Mary Mercy Physician Practices's NPI number?

The NPI number for St Mary Mercy Physician Practices is 1801303086. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is St Mary Mercy Physician Practices located?

St Mary Mercy Physician Practices is located at 5555 Conner St Ste 2691, Detroit, MI 48213. The listed phone number is (313) 692-8400.

What is St Mary Mercy Physician Practices's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is St Mary Mercy Physician Practices enrolled in Medicare?

Yes. St Mary Mercy Physician Practices is registered in the Medicare PECOS enrollment system.

When is St Mary Mercy Physician Practices'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 January 31, 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 St Mary Mercy Physician Practices?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 11 Medicare specialties reassign their Medicare billing to St Mary Mercy Physician Practices. 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 Psychiatry (13), Family Practice (12) and Nurse Practitioner (12). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Mary Mercy Physician Practices accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Mary Mercy Physician Practices 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 St Mary Mercy Physician Practices was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.