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SCOPE MEDICAL GROUP PLLC
NPI 1841940905
Internal Medicine - Gastroenterology in Clinton Township, MI

Active since March 23, 2022
43475 DALCOMA DR STE 160, CLINTON TOWNSHIP, MI 48038(248) 221-1845(248) 308-5525 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Scope Medical Group Pllc NPPES

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

SCOPE MEDICAL GROUP PLLC (NPI 1841940905) is a healthcare organization registered as a gastroenterology in Clinton Township, Michigan and active in the NPI registry since March 2022. The organization lists Karrie Wirth, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841940905
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSCOPE MEDICAL GROUP PLLC
Location Address43475 DALCOMA DR STE 160Clinton Township, MI 48038-3550
Mailing Address43475 Dalcoma Dr Ste 160Clinton Township, MI 48038-3550 · (248) 221-1845 · Fax (248) 308-5525
Phone(248) 221-1845
Fax(248) 308-5525
Organization SubpartNo
Authorized OfficialKarrie WirthOffice Manager · (248) 342-3252
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1841940905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
43475 DALCOMA DR STE 160, Clinton Township, MI 48038
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Scope Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Kyle Antosiek, D.O.
Gastroenterology
NPI 1376926972
43475 DALCOMA DR STE 160
Clinton Township, MI 48038
(248) 221-1845
✔ PECOS✔ Accepts MedicareSame address
Mohanad Suede, MD
Gastroenterology
NPI 1720436843
43475 DALCOMA DR STE 160
Clinton Township, MI 48038
(248) 221-1845
✔ PECOS✔ Accepts MedicareSame address
Susan Wolgamott, DNP
Nurse Practitioner
NPI 1760894638
10 W SQUARE LAKE RD STE 200
Bloomfield Township, MI 48302
(248) 221-1845
✔ PECOS✔ Accepts Medicare15 mi
Taras Andrushkiw, NP-C
Nurse Practitioner
NPI 1215600135
5584 TIMBERWOOD CT
Clarkston, MI 48346
(586) 718-5677
✔ PECOS22 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 Scope Medical Group PLLC's NPI number?

The NPI number for Scope Medical Group PLLC is 1841940905. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Scope Medical Group PLLC located?

Scope Medical Group PLLC is located at 43475 Dalcoma Dr Ste 160, Clinton Township, MI 48038. The listed phone number is (248) 221-1845.

What is Scope Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Scope Medical Group PLLC enrolled in Medicare?

Yes. Scope Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scope Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Scope Medical Group PLLC, in Gastroenterology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Scope Medical Group PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Scope Medical Group 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 Scope Medical Group PLLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.