AEGIS MEDICAL PLLC
NPI 1831883529
Family Medicine - Addiction Medicine in Grosse Pointe, MI

Active since June 06, 2023CLIA 23D2316445 · Waiver
17888 MACK AVE, GROSSE POINTE, MI 48230(888) 849-1080 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2024, Oct 2, 2024, Sep 29, 2024 and 1 more (4 updates tracked since 2023).

About Aegis Medical Pllc NPPES

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

AEGIS MEDICAL PLLC (NPI 1831883529) is a healthcare organization registered as an addiction medicine in Grosse Pointe, Michigan and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Peter Joseph Farago, Owner, as its authorized official.

NPPES Registry Identity

NPI1831883529
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameAEGIS MEDICAL PLLC
Location Address17888 MACK AVEGrosse Pointe, MI 48230-6234
Mailing Address17888 Mack AveGrosse Pointe, MI 48230-6234 · (313) 670-1515
Organization SubpartNo
Authorized OfficialPeter Joseph FaragoOwner · (888) 849-1080
Enumeration DateJune 6, 2023
Last NPPES UpdateJune 8, 20264 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1831883529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
17888 MACK AVE, Grosse Pointe, MI 48230

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

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 23D2316445

Aegis Medical · Grosse Pointe, MI
Active · expires Jan 5, 2027
CLIA Number23D2316445
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorPeter J. Farago
Laboratory Phone(888) 849-1080
Laboratory LocationAegis Medical17888 Mack Avenue, Grosse Pointe, MI 48230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine (Addiction Medicine)
17888 MACK AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Acute Care)
17888 MACK AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Family)
17888 MACK AVE
GROSSE POINTE, MI 48230
Family Medicine (Addiction Medicine)
17888 MACK AVE
GROSSE POINTE, MI 48230

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 Aegis Medical PLLC's NPI number?

The NPI number for Aegis Medical PLLC is 1831883529. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is Aegis Medical PLLC located?

Aegis Medical PLLC is located at 17888 Mack Ave, Grosse Pointe, MI 48230. The listed phone number is (888) 849-1080.

What is Aegis Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Aegis Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2316445) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aegis Medical PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Aegis Medical PLLC 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 Aegis Medical PLLC was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.