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PARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE
NPI 1891307443
Internal Medicine in Taylor, MI

Active since August 17, 2020
12701 TELEGRAPH RD STE 103, TAYLOR, MI 48180(734) 374-0500(734) 374-2415 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2021, Sep 3, 2020, Aug 17, 2020 (3 updates tracked since 2020).

About Park Place Family Practice & Internal Medicine NPPES

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

PARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE (NPI 1891307443) is a healthcare organization registered as an internal medicine in Taylor, Michigan and active in the NPI registry since August 2020. The organization lists Susan Goswami, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1891307443
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE
Location Address12701 TELEGRAPH RD STE 103Taylor, MI 48180-4087
Mailing Address12701 Telegraph Rd Ste 103Taylor, MI 48180-4087 · (734) 374-0500 · Fax (734) 374-2415
Phone(734) 374-0500
Fax(734) 374-2415
Organization SubpartNo
Authorized OfficialSusan GoswamiOffice Admin · (734) 374-0500
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1891307443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
12701 TELEGRAPH RD STE 103, Taylor, MI 48180
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Other Identifiers 2

Medicaid1891307443MI
OtherOH62264MI · Bcbsm Pin

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

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Park Place Family Practice & Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Park Place Family Practice & Internal Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Raj Goswami, M.D.
Internal Medicine
NPI 1952372799
12701 TELEGRAPH RD
Taylor, MI 48180
(734) 374-0500
✔ PECOS✔ Accepts MedicareSame address
Ramsewak Goswami, M.D.
Family Practice
NPI 1679544415
12701 TELEGRAPH RD SUIUTE 103
Taylor, MI 48180
(734) 374-0500
✔ PECOSSame address
Nsreen Arbid
Nurse Practitioner
NPI 1164397121
12701 TELEGRAPH RD STE 103
Taylor, MI 48180
(734) 374-0500
✔ PECOS✔ Accepts MedicareSame address
Achraf Slim, M.D
Internal Medicine
NPI 1689962136
24513 FORD RD
Dearborn, MI 48128
(313) 791-7992
✔ PECOS✔ Accepts Medicare7.8 mi
Mireille Touma, NURSE PRACTITIONER
Nurse Practitioner
NPI 1972934941
18320 FARMINGTON RD
Livonia, MI 48152
(248) 476-9200
✔ PECOS✔ Accepts Medicare15 mi
Kazem Osman, DO
Hospitalist
NPI 1518495225
205 N EAST AVE
Jackson, MI 49201
(517) 205-3998
✔ PECOS✔ Accepts Medicare48 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 Park Place Family Practice & Internal Medicine's NPI number?

The NPI number for Park Place Family Practice & Internal Medicine is 1891307443. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Park Place Family Practice & Internal Medicine located?

Park Place Family Practice & Internal Medicine is located at 12701 Telegraph Rd Ste 103, Taylor, MI 48180. The listed phone number is (734) 374-0500.

What is Park Place Family Practice & Internal Medicine's specialty?

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

Is Park Place Family Practice & Internal Medicine enrolled in Medicare?

Yes. Park Place Family Practice & Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Place Family Practice & Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Park Place Family Practice & Internal Medicine, in Family Practice, Hospitalist, Internal Medicine 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Park Place Family Practice & Internal Medicine accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Park Place Family Practice & Internal Medicine 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 Park Place Family Practice & Internal Medicine was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.