PREMIER NEUROLOGY & PAIN SPECIALISTS
NPI 1992170187
Pain Medicine - Interventional Pain Medicine in Wyandotte, MI
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Neurology & Pain Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Premier Neurology & Pain Specialists, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 23D2111252
Premier Neurology & Pain Specialists · Southgate, 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 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.
Is Fadi Delly, MD PC enrolled in Medicare?
Yes. Fadi Delly, MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fadi Delly, MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Fadi Delly, MD PC. 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. The largest specialties are Nurse Practitioner (6), Anesthesiology (1) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Premier Neurology & Pain Specialists · NPI 1992170187
Interventional Pain Medicine organization in Wyandotte, Michigan. Organization record, active in the CMS NPPES registry since December 14, 2015.
## Identity
- **NPI:** 1992170187 (Entity type: Organization)
- **Enumerated:** December 14, 2015
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** Fadi Delly, Md Pc
- **Organization subpart:** No
- **Authorized official:** Fadi Delly, OWNER
## Practice location
- **Address:** 2211 FORT ST, Wyandotte, MI 48192-4135
- **Phone:** (734) 357-0505 · **Fax:** (734) 357-0506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Anesthesiology (1), Certified Clinical Nurse Specialist (CNS) (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992170187) · Data from the CMS NPPES public registry.