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INTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC
NPI 1932227873
Internal Medicine in Bloomfield Hills, MI

Active since March 27, 2007CLIA 23D1067801 · Waiver
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302(248) 723-2400 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Internal Medicine And Pediatrics Of Bloomfield Pc NPPES

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

INTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC (NPI 1932227873) is a healthcare organization registered as an internal medicine in Bloomfield Hills, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Steve Kallabat, President, as its authorized official.

NPPES Registry Identity

NPI1932227873
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE AND PEDIATRICS OF BLOOMFIELD PC
Location Address1109 W LONG LAKE RDBloomfield Hills, MI 48302-1964
Mailing Address1109 W Long Lake RdBloomfield Hills, MI 48302-1964 · (248) 723-2400
Phone(248) 723-2400
Organization SubpartNo
Authorized OfficialSteve KallabatPresident · (248) 723-2400
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1932227873 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 ListedPediatricsTaxonomy 208000000X
1109 W LONG LAKE RD, Bloomfield Hills, MI 48302
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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)

Internal Medicine And Pediatrics Of Bloomfield Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Internal Medicine And Pediatrics Of Bloomfield PC, 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 (4)

Steve Kallabat, MD
Internal Medicine
NPI 1245291475
1109 W LONG LAKE RD
Bloomfield Hills, MI 48302
(248) 723-2400
✔ PECOS✔ Accepts MedicareSame address
Andy Alnajjar, DO
Family Practice
NPI 1770164972
1109 W LONG LAKE RD
Bloomfield Hills, MI 48302
(248) 723-2400
✔ PECOS✔ Accepts MedicareSame address
Azrael Paredes
Family Practice
NPI 1518197029
1109 W LONG LAKE RD
Bloomfield Hills, MI 48302
(248) 723-2400
✔ PECOS✔ Accepts MedicareSame address
Shahed Khalefih
Family Practice
NPI 1134807845
22250 PROVIDENCE DR STE 500
Southfield, MI 48075
(248) 849-2203
✔ PECOS9.5 mi

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 23D1067801

Internal Medicine & Pediatrics Of Bloomfield Hills PC · Bloomfield Hills, MI
Active · expires Nov 16, 2026
CLIA Number23D1067801
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorSteve Z. Kallabat
Laboratory Phone(248) 723-2400
Laboratory LocationInternal Medicine & Pediatrics Of Bloomfield Hills PC1109 W Long Lake Road, Bloomfield Hills, MI 48302
CLIA data matches this NPI record on: Address Phone
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 Internal Medicine And Pediatrics Of Bloomfield PC's NPI number?

The NPI number for Internal Medicine And Pediatrics Of Bloomfield PC is 1932227873. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Internal Medicine And Pediatrics Of Bloomfield PC located?

Internal Medicine And Pediatrics Of Bloomfield PC is located at 1109 W Long Lake Rd, Bloomfield Hills, MI 48302. The listed phone number is (248) 723-2400.

What is Internal Medicine And Pediatrics Of Bloomfield PC's specialty?

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

Is Internal Medicine And Pediatrics Of Bloomfield PC enrolled in Medicare?

Yes. Internal Medicine And Pediatrics Of Bloomfield PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine And Pediatrics Of Bloomfield PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Internal Medicine And Pediatrics Of Bloomfield 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. The largest specialties are Family Practice (3) and Internal Medicine (1). 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.

Does Internal Medicine And Pediatrics Of Bloomfield PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1067801) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine And Pediatrics Of Bloomfield PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Internal Medicine And Pediatrics Of Bloomfield 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 Internal Medicine And Pediatrics Of Bloomfield PC was last updated on November 16, 2023. 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.