SOUTHFIELD MEDICAL GROUP PLLC
NPI 1881620235
Internal Medicine in Lathrup Village, MI
About Southfield Medical Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHFIELD MEDICAL GROUP PLLC (NPI 1881620235) is a healthcare organization registered as an internal medicine in Lathrup Village, Michigan and active in the NPI registry since June 2006. The organization lists Riyadh P Kasmikha, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southfield Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southfield Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Lathrup Village, MI 48076
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 Southfield Medical Group PLLC's NPI number?
The NPI number for Southfield Medical Group PLLC is 1881620235. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Southfield Medical Group PLLC located?
Southfield Medical Group PLLC is located at 28500 Southfield Rd Suite 200, Lathrup Village, MI 48076. The listed phone number is (248) 440-2185.
What is Southfield Medical Group PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Southfield Medical Group PLLC enrolled in Medicare?
Yes. Southfield Medical Group PLLC is registered in the Medicare PECOS enrollment system.
When is Southfield Medical Group PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southfield Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southfield Medical Group PLLC, in Cardiovascular Disease (Cardiology) and Internal Medicine. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southfield Medical Group PLLC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southfield 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 Southfield Medical Group PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southfield Medical Group Pllc · NPI 1881620235
Internal Medicine organization in Lathrup Village, Michigan. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1881620235 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Riyadh Kasmikha, PRESIDENT
## Practice location
- **Address:** 28500 SOUTHFIELD RD, SUITE 200, Lathrup Village, MI 48076-2722
- **Phone:** (248) 440-2185 · **Fax:** (248) 440-2189
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881620235) · Data from the CMS NPPES public registry.