PRIME MEDICAL FAMILY PRACTICE PLLC
NPI 1942179312
Clinic/Center - Primary Care in Detroit, MI
About Prime Medical Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME MEDICAL FAMILY PRACTICE PLLC (NPI 1942179312) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Diana Elmasri, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Medical Family Practice Pllc 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 Prime Medical Family Practice PLLC, 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.
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 23D2334645
Prime Medical Family Practice PLLC · Detroit, MIFrequently 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 Prime Medical Family Practice PLLC's NPI number?
The NPI number for Prime Medical Family Practice PLLC is 1942179312. It was assigned to this organization in the NPPES registry on November 3, 2025.
Where is Prime Medical Family Practice PLLC located?
Prime Medical Family Practice PLLC is located at 18730 Ford Rd Unit C1, Detroit, MI 48228. The listed phone number is (313) 623-4910.
What is Prime Medical Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prime Medical Family Practice PLLC enrolled in Medicare?
Yes. Prime Medical Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Medical Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Prime Medical Family Practice PLLC. 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.
Does Prime Medical Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2334645) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Medical Family Practice PLLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Prime Medical Family Practice Pllc · NPI 1942179312
Primary Care organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since November 3, 2025.
## Identity
- **NPI:** 1942179312 (Entity type: Organization)
- **Enumerated:** November 3, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Diana Elmasri, ADMIN
## Practice location
- **Address:** 18730 FORD RD, UNIT C1, Detroit, MI 48228
- **Phone:** (313) 623-4910
## 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 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942179312) · Data from the CMS NPPES public registry.