ELITE MEDICAL GROUP PC
NPI 1801637293
Internal Medicine in West Bloomfield, MI

Active since June 01, 2024
3210 PINE LAKE RD, WEST BLOOMFIELD, MI 48324(248) 974-2511 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elite Medical Group Pc NPPES

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

ELITE MEDICAL GROUP PC (NPI 1801637293) is a healthcare organization registered as an internal medicine in West Bloomfield, Michigan and active in the NPI registry since June 2024. The organization lists Yousif Ishmail, Owner, as its authorized official.

NPPES Registry Identity

NPI1801637293
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE MEDICAL GROUP PC
Location Address3210 PINE LAKE RDWest Bloomfield, MI 48324-1951
Mailing Address3210 Pine Lake RdWest Bloomfield, MI 48324-1951 · (248) 974-2511
Organization SubpartNo
Authorized OfficialYousif IshmailOwner · (248) 974-2511
Enumeration DateJune 1, 2024
NPPES CertifiedJune 1, 2024
✔ NPI 1801637293 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.
3210 PINE LAKE RD, West Bloomfield, MI 48324

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Elite Medical Group PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Family Practice
NPI 1073017075
28545 ORCHARD LAKE RD UNIT 1
Farmington Hills, MI 48334
(248) 365-6064
✔ PECOS✔ Accepts Medicare6.1 mi
Internal Medicine
NPI 1184030942
5877 LIVERNOIS RD STE 105
Troy, MI 48098
(248) 550-0525
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1306078662
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3000
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1164047932
22250 PROVIDENCE DR STE 301
Southfield, MI 48075
(248) 849-3281
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1225046220
22250 PROVIDENCE DR STE 202
Southfield, MI 48075
(248) 849-7400
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1366510893
20755 GREENFIELD RD STE 100 SUITE 100
Southfield, MI 48075
(248) 557-0507
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1033101084
1711 MONROE ST
Dearborn, MI 48124
(313) 562-9100
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1598007510
5301 E HURON RIVER DR
Ypsilanti, MI 48197
(734) 712-8676
✔ PECOS✔ Accepts Medicare30 mi
Pulmonary Disease
NPI 1083104525
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
(520) 742-9000
✔ PECOS✔ Accepts Medicare1,668 mi

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 Elite Medical Group PC's NPI number?

The NPI number for Elite Medical Group PC is 1801637293. It was assigned to this organization in the NPPES registry on June 1, 2024.

Where is Elite Medical Group PC located?

Elite Medical Group PC is located at 3210 Pine Lake Rd, West Bloomfield, MI 48324. The listed phone number is (248) 974-2511.

What is Elite Medical Group PC's specialty?

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

Is Elite Medical Group PC enrolled in Medicare?

Yes. Elite Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Elite Medical Group 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 (7), Family Practice (1) and Pulmonary Disease (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elite Medical Group PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elite Medical Group 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 Elite Medical Group PC was last updated on June 1, 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.