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SOUTHEASTERN MICHIGAN MEDICAL CONSULTANTS PC
NPI 1942300884
Internal Medicine - Addiction Medicine in Saint Clair Shores, MI

Active since September 22, 2006
21420 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080(586) 775-7400(586) 775-0091 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeastern Michigan Medical Consultants Pc NPPES

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

SOUTHEASTERN MICHIGAN MEDICAL CONSULTANTS PC (NPI 1942300884) is a healthcare organization registered as an addiction medicine in Saint Clair Shores, Michigan and active in the NPI registry since September 2006. The organization lists Rudy Jerome Vervaeke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942300884
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameSOUTHEASTERN MICHIGAN MEDICAL CONSULTANTS PC
Location Address21420 HARPER AVE, SUITE 2Saint Clair Shores, MI 48080-3607
Mailing Address21420 Harper Ave, Suite 2Saint Clair Shores, MI 48080-3607 · (586) 775-7400 · Fax (586) 775-0091
Phone(586) 775-7400
Fax(586) 775-0091
Organization SubpartNo
Authorized OfficialRudy Jerome VervaekeCeo · (586) 775-7400
Enumeration DateSeptember 22, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1942300884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in MI · 4301044898
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
21420 HARPER AVE, Saint Clair Shores, MI 48080
Open in Google Maps ↗

Other Identifiers 8

OtherB47051MI · Hap
OtherDE9629MI · Railroad Medicare Group
Other010E023690MI · Bcn
Medicare UPINB47051MI
Other4329604MI · Aetna
Medicaid1942300884MI
Other010E023690MI · Bcbs
Medicare PIN0P26650MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BHARAT PATEL M.D. PC
Internal Medicine (Addiction Medicine)
21420 HARPER AVE, SUITE 2
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-8200
DR. RUDY JEROME VERVAEKE M.D.
Internal Medicine (Addiction Medicine)
21420 HARPER AVE, SUITE 2
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-7400

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 Southeastern Michigan Medical Consultants PC's NPI number?

The NPI number for Southeastern Michigan Medical Consultants PC is 1942300884. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Southeastern Michigan Medical Consultants PC located?

Southeastern Michigan Medical Consultants PC is located at 21420 Harper Ave Suite 2, Saint Clair Shores, MI 48080. The listed phone number is (586) 775-7400.

What is Southeastern Michigan Medical Consultants PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Southeastern Michigan Medical Consultants PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southeastern Michigan Medical Consultants 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 Southeastern Michigan Medical Consultants PC was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.