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EXECUTIVE PLAZA MEDICAL, P.C.
NPI 1952715153
Clinic/Center - Multi-Specialty in Dearborn, MI

Active since June 16, 2014
17000 EXECUTIVE PLAZA DR, SUITE 103, DEARBORN, MI 48126(313) 915-4632(313) 915-4634 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Executive Plaza Medical, P.c. NPPES

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

EXECUTIVE PLAZA MEDICAL, P.C. (NPI 1952715153) is a healthcare organization registered as a multi-specialty in Dearborn, Michigan and active in the NPI registry since June 2014. The organization lists Hossam A Hossein, Manager, as its authorized official.

NPPES Registry Identity

NPI1952715153
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEXECUTIVE PLAZA MEDICAL, P.C.
Location Address17000 EXECUTIVE PLAZA DR, SUITE 103Dearborn, MI 48126-2793
Mailing Address17000 Executive Plaza Dr, Suite 103Dearborn, MI 48126-2793 · (313) 915-4632 · Fax (313) 915-4634
Phone(313) 915-4632
Fax(313) 915-4634
Organization SubpartNo
Authorized OfficialHossam A HosseinManager · (313) 915-4632
Enumeration DateJune 16, 2014
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1952715153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Licenses✔ Licensed in MI · 5101006652✔ Licensed in MI · 4301405559✔ Licensed in MI · 4301405324
Also ListedGeneral PracticeTaxonomy 208D00000X · License 5101006652 (MI)
17000 EXECUTIVE PLAZA DR, Dearborn, MI 48126
Open in Google Maps ↗

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

Medical Equipment Supplier Medicare DMEPOS 21

Medicare supplier enrollment and the product categories Executive Infusion Services LLC carries, from the Medicare DMEPOS supplier directory.

Executive Infusion Services LLC

DMEPOS supplier · Dearborn, MI
✔

Accepts Medicare assignment

Executive Infusion Services LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20478215
Medicare Participant SinceMay 1, 2016
Supplier Location17000 Executive Plaza Dr Ste 201Dearborn, MI 48126
Phone(313) 982-3220
Supplier Specialties
Medical Supply Company Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 11

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

MOHAMADOMAR KHALID KHAN DPT
Physical Therapist
17000 EXECUTIVE PLAZA DR
DEARBORN, MI 48126
Wayne County (313) 792-8350
PREVENTATIVE SOLUTIONS LLC
Clinic/Center (Multi-Specialty)
17000 EXECUTIVE PLAZA DR, SUITE 106
DEARBORN, MI 48126
Wayne County (313) 307-5711
EXECUTIVE INFUSION SERVICES LLC
Clinic/Center (Infusion Therapy)
17000 EXECUTIVE PLAZA DR, SUITE 201
DEARBORN, MI 48126
Wayne County (313) 982-3220
PEARL HEALTH MANAGEMENT
Physical Medicine & Rehabilitation
17000 EXECUTIVE PLAZA DR
DEARBORN, MI 48126
Wayne County (586) 557-7302
DEARBORN FAMILY PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
17000 EXECUTIVE PLAZA DR, SUITE 104
DEARBORN, MI 48126
Wayne County (313) 982-3770
EXECUTIVE AMBULATORY SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
17000 EXECUTIVE PLAZA DR, SUITE 301
DEARBORN, MI 48126
Wayne County (313) 408-6613
EXECUTIVE INFUSION SERVICES LLC
Pharmacy (Home Infusion Therapy Pharmacy)
17000 EXECUTIVE PLAZA DR, SUITE 201-A
DEARBORN, MI 48126
Wayne County (313) 982-3220
MOHAMMED A ARMAN MD, PC
Clinical Medical Laboratory
17000 EXECUTIVE PLAZA DR, SUITE 202
DEARBORN, MI 48126
Wayne County (313) 583-3871

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 Executive Plaza Medical, P.C.'s NPI number?

The NPI number for Executive Plaza Medical, P.C. is 1952715153. It was assigned to this organization in the NPPES registry on June 16, 2014.

Where is Executive Plaza Medical, P.C. located?

Executive Plaza Medical, P.C. is located at 17000 Executive Plaza Dr Suite 103, Dearborn, MI 48126. The listed phone number is (313) 915-4632.

What is Executive Plaza Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Executive Plaza Medical, P.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Executive Infusion Services LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Executive Plaza Medical, P.C. was last updated on January 13, 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.