EXECUTIVE PLAZA MEDICAL, P.C.
NPI 1952715153
Clinic/Center - Multi-Specialty in Dearborn, MI
NPI Status: Active since June 16, 2014
Contact Information
17000 EXECUTIVE PLAZA DR
SUITE 103
DEARBORN, MI
ZIP 48126
Phone: (313) 915-4632
Fax: (313) 915-4634
- Organization
- Clinic/Center
- Multi-Specialty
- Medicare Supplier
- Accepts Medicare Approved Payment
About EXECUTIVE PLAZA MEDICAL, P.C.
This page provides the complete NPI Profile along with additional information for Executive Plaza Medical, P.c., a provider established in Dearborn, Michigan operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1952715153 assigned on June 2014. The practitioner's primary taxonomy code is 261QM1300X with license number 5101006652 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. Executive Plaza Medical, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Hossam A Hossein (Manager)
- NPI
- 1952715153
- Provider Name
- EXECUTIVE PLAZA MEDICAL, P.C.
- Entity Type
- Organization
- Location Address
- 17000 EXECUTIVE PLAZA DR SUITE 103 DEARBORN, MI 48126
- Location Phone
- (313) 915-4632
- Location Fax
- (313) 915-4634
- Mailing Address
- 17000 EXECUTIVE PLAZA DR SUITE 103 DEARBORN, MI 48126
- Mailing Phone
- (313) 915-4632
- Mailing Fax
- (313) 915-4634
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2014
- Last Update Date
- 01-13-2015
- Code Navigator
Executive Plaza Medical, P.c. is a medicare supplier with PTAN 20478215 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or External Infusion Pumps and/or Supplies or Insulin Infusion Pumps and/or Supplies or Implanted Infusion Pumps and/or Supplies or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 5101006652
- License State
- MI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 5101006652 (MI) |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | 4301405559 (MI) |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | 4301405324 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20478215
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other, Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Insulin Infusion Pumps and/or Supplies - Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
- Implanted Infusion Pumps and/or Supplies - Implantable infusion pumps, catheters, refill kits
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Parenteral Nutrients - Parenteral nutrient solutions
- Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1952715153, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952715153, enumerated as an "organization" on June 16, 2014.
The provider is located at 17000 EXECUTIVE PLAZA DR SUITE 103 DEARBORN, MI 48126 and the phone number is (313) 915-4632.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
