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ADMIR MEDIC CCC-SLP
NPI 1811880909
Speech-Language Pathologist in Detroit, MI

Active since May 29, 2025
79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 474-8326 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Admir Medic Ccc-slp NPPES

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

ADMIR MEDIC CCC-SLP (NPI 1811880909) is an individual speech-language pathologist provider in Detroit, Michigan, licensed in Michigan (14446713) and active in the NPI registry since May 2025. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1811880909
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameADMIR MEDICCredential: CCC-SLP
Location Address79 W ALEXANDRINE STDetroit, MI 48201-2015
Mailing Address29131 Longview Ave Apt 7Warren, MI 48093-2450
Phone(313) 474-8326
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1811880909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 14446713
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
79 W ALEXANDRINE ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Admir Medic Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880189364
PECOS Enrollment IDI20251222002756

Medicare Billing Reassignment

Medicare enrollment records show Admir Medic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Outcomes Management,llc
16 mi
Community/Behavioral Health
210 TOWN CENTER DR
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
NPI 1184139131 (248) 643-8900

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

Other Providers at the Same Location NPPES 20

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

LEAH WELTON MSW
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
MS. EMILY FRANCES TROYER LPC
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ROJET MORROW LLMSW,CMHP
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ANGELA ORR
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LORETTA BANTOM
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LINDA HENDERSON
Specialist
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
CIARA COX
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-2008
THE CHILDREN'S CENTER OF WAYNE CO., INC.
Psychologist (Clinical Child & Adolescent)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 262-0951

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 Admir Medic's NPI number?

The NPI number for Admir Medic is 1811880909. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Admir Medic located?

Admir Medic practices at 79 W Alexandrine St, Detroit, MI 48201. The listed phone number is (313) 474-8326.

What is Admir Medic's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Admir Medic enrolled in Medicare?

Yes. Admir Medic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Admir Medic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Admir Medic reassigns Medicare benefits to Behavioral Outcomes Management,llc (Troy, MI). The 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 Admir Medic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Admir Medic was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.