PAC MED PLLC
NPI 1861246522
Internal Medicine in Fraser, MI

Active since April 17, 2024
33300 UTICA RD, FRASER, MI 48026(248) 410-6398 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pac Med Pllc NPPES

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

PAC MED PLLC (NPI 1861246522) is a healthcare organization registered as an internal medicine in Fraser, Michigan and active in the NPI registry since April 2024. The organization lists Anthony Konja, Owner, as its authorized official.

NPPES Registry Identity

NPI1861246522
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAC MED PLLC
Location Address33300 UTICA RDFraser, MI 48026-2097
Mailing Address4450 Cherry Hill DrOrchard Lake, MI 48323-1611 · (248) 410-6398
Organization SubpartNo
Authorized OfficialAnthony KonjaOwner · (248) 410-6398
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1861246522 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.
33300 UTICA RD, Fraser, MI 48026

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pac Med Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pac Med PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1013909001
30550 UTICA RD
Roseville, MI 48066
(734) 464-0887
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1639673601
28655 HOOVER RD
Warren, MI 48093
(586) 393-1330
✔ PECOS✔ Accepts Medicare3.7 mi
Nephrology
NPI 1467674895
18302 MIDDLEBELT RD
Livonia, MI 48152
(248) 478-1500
✔ PECOS✔ Accepts Medicare21 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 Pac Med PLLC's NPI number?

The NPI number for Pac Med PLLC is 1861246522. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Pac Med PLLC located?

Pac Med PLLC is located at 33300 Utica Rd, Fraser, MI 48026. The listed phone number is (248) 410-6398.

What is Pac Med PLLC's specialty?

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

Is Pac Med PLLC enrolled in Medicare?

Yes. Pac Med PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pac Med PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pac Med PLLC, in Internal Medicine, Nephrology 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pac Med PLLC was last updated on April 17, 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.