PREMIER NEUROLOGY & PAIN SPECIALISTS
NPI 1992170187
Pain Medicine - Interventional Pain Medicine in Wyandotte, MI

Active since December 14, 2015CLIA 23D2111252 · Waiver
2211 FORT ST, WYANDOTTE, MI 48192(734) 357-0505(734) 357-0506 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2019, Jul 26, 2017, Dec 14, 2015 (3 updates tracked since 2015).

About Premier Neurology & Pain Specialists NPPES

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

PREMIER NEUROLOGY & PAIN SPECIALISTS (NPI 1992170187) is a healthcare organization registered as an interventional pain medicine in Wyandotte, Michigan and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Fadi Delly, Owner, as its authorized official.

NPPES Registry Identity

NPI1992170187
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameFADI DELLY, MD PC
Location Address2211 FORT STWyandotte, MI 48192-4135
Mailing Address2211 Fort StWyandotte, MI 48192-4135 · (734) 357-0505 · Fax (734) 357-0506
Fax(734) 357-0506
Organization SubpartNo
Authorized OfficialFadi DellyOwner · (248) 755-9499
Enumeration DateDecember 14, 2015
Last NPPES UpdateJune 13, 20193 updates tracked since enumeration
NPI 1992170187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in MI · 4301094922
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 4301094922 (MI)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 4301094922 (MI)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License 4301094922 (MI)
2211 FORT ST, Wyandotte, MI 48192

Other Names 1

Doing Business AsPremier Neurology & Pain Specialists

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

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 23D2111252

Premier Neurology & Pain Specialists · Southgate, MI
Active · expires Apr 3, 2028
CLIA Number23D2111252
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorFadi H. Delly
Laboratory Phone(734) 357-0505
Laboratory LocationPremier Neurology & Pain Specialists15750 Northline Road, Southgate, MI 48195
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Pain Medicine (Interventional Pain Medicine)
2211 FORT ST
WYANDOTTE, MI 48192
Nurse Anesthetist, Certified Registered
2211 FORT ST
WYANDOTTE, MI 48192
Physical Therapist
2211 FORT ST
WYANDOTTE, MI 48192
Physical Therapist
2211 FORT ST
WYANDOTTE, MI 48192
Pharmacy (Community/Retail Pharmacy)
2211 FORT ST
WYANDOTTE, MI 48192
Physical Therapist
2211 FORT ST
WYANDOTTE, MI 48192
Physical Therapist
2211 FORT ST
WYANDOTTE, MI 48192
Nurse Practitioner
2211 FORT ST
WYANDOTTE, MI 48192

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 Fadi Delly, MD PC's NPI number?

The NPI number for Fadi Delly, MD PC is 1992170187. It was assigned to this organization in the NPPES registry on December 14, 2015. The provider is doing business as Premier Neurology & Pain Specialists.

Where is Fadi Delly, MD PC located?

Fadi Delly, MD PC is located at 2211 Fort St, Wyandotte, MI 48192. The listed phone number is (734) 357-0505.

What is Fadi Delly, MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Fadi Delly, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2111252) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fadi Delly, MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fadi Delly, MD 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 Fadi Delly, MD PC was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.