TROY PRIMARY CARE CENTER, P.C.
NPI 1902045073
Family Medicine in Troy, MI

Active since February 13, 2009CLIA 23D2089532 · Waiver
1380 COOLIDGE HWY, SUITE 100, TROY, MI 48084(248) 288-4000(248) 288-3900 Get Directions Write a Review

NPPES record last updated: February 13, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Troy Primary Care Center, P.c. NPPES

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

TROY PRIMARY CARE CENTER, P.C. (NPI 1902045073) is a healthcare organization registered as a family medicine in Troy, Michigan and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Hadeel Kado, President, as its authorized official.

NPPES Registry Identity

NPI1902045073
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTROY PRIMARY CARE CENTER, P.C.
Location Address1380 COOLIDGE HWY, SUITE 100Troy, MI 48084-7069
Mailing AddressPo Box 99640Troy, MI 48099-9640 · (248) 288-4000 · Fax (248) 288-3900
Fax(248) 288-3900
Organization SubpartNo
Authorized OfficialHadeel KadoPresident · (248) 288-4000
Enumeration DateFebruary 13, 2009
✔ NPI 1902045073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · HK072936
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1380 COOLIDGE HWY, Troy, MI 48084

Other Identifiers 2

Medicare UPINH53580MI
Medicaid4423382MI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy Primary Care Center, P.c. 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 Troy Primary Care Center, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1457842361
1380 COOLIDGE HWY
Troy, MI 48084
(248) 288-4300
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1386872299
1380 COOLIDGE HWY STE 200
Troy, MI 48084
(248) 545-2131
✔ Accepts MedicareSame address
Family Practice
NPI 1326010760
1380 COOLIDGE HWY SUITE 200
Troy, MI 48084
(248) 288-4300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2089532

Troy Primary Care Center P C · Troy, MI
Active · expires Jan 4, 2027
CLIA Number23D2089532
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorHadeel N. Kado
Laboratory Phone(248) 288-4300
Laboratory LocationTroy Primary Care Center P C1380 Coolidge Highway, Suite 200, Troy, MI 48084
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Troy Primary Care Center, P.C.'s NPI number?

The NPI number for Troy Primary Care Center, P.C. is 1902045073. It was assigned to this organization in the NPPES registry on February 13, 2009.

Where is Troy Primary Care Center, P.C. located?

Troy Primary Care Center, P.C. is located at 1380 Coolidge Hwy Suite 100, Troy, MI 48084. The listed phone number is (248) 288-4000.

What is Troy Primary Care Center, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Troy Primary Care Center, P.C. enrolled in Medicare?

Yes. Troy Primary Care Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Troy Primary Care Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Troy Primary Care Center, P.C., in Family Practice, Nurse Practitioner and Registered Dietitian or Nutrition Professional. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Troy Primary Care Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2089532) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Troy Primary Care Center, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Troy Primary Care Center, P.C. 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 Troy Primary Care Center, P.C. was last updated on February 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.