EAST DEARBORN MEDICAL CLINIC PC
NPI 1871043000
Clinic/Center - Primary Care in Dearborn, MI
About East Dearborn Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST DEARBORN MEDICAL CLINIC PC (NPI 1871043000) is a healthcare organization registered as a primary care in Dearborn, Michigan and active in the NPI registry since October 2016. The organization lists Abdul Mhanna, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
East Dearborn Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to East Dearborn Medical Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 East Dearborn Medical Clinic PC's NPI number?
The NPI number for East Dearborn Medical Clinic PC is 1871043000. It was assigned to this organization in the NPPES registry on October 12, 2016.
Where is East Dearborn Medical Clinic PC located?
East Dearborn Medical Clinic PC is located at 14650 W Warren Ave Ste 150, Dearborn, MI 48126. The listed phone number is (313) 581-0200.
What is East Dearborn Medical Clinic PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is East Dearborn Medical Clinic PC enrolled in Medicare?
Yes. East Dearborn Medical Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Dearborn Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to East Dearborn Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Dearborn Medical Clinic PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list East Dearborn Medical Clinic 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 East Dearborn Medical Clinic PC was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# East Dearborn Medical Clinic Pc · NPI 1871043000
Primary Care organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since October 12, 2016.
## Identity
- **NPI:** 1871043000 (Entity type: Organization)
- **Enumerated:** October 12, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Abdul Mhanna, OWNER
## Practice location
- **Address:** 14650 W WARREN AVE, STE 150, Dearborn, MI 48126-1799
- **Phone:** (313) 581-0200 · **Fax:** (313) 582-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1871043000) · Data from the CMS NPPES public registry.