PROFESSIONAL PLAZA CLINIC CORPORATION
NPI 1992709331
Legal Medicine in Detroit, MI
About Professional Plaza Clinic Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL PLAZA CLINIC CORPORATION (NPI 1992709331) is a healthcare organization registered as a legal medicine in Detroit, Michigan and active in the NPI registry since June 2005. The organization lists Andrea P Mcbride, Ceo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Professional Plaza Clinic Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Professional Plaza Clinic Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Professional Plaza Clinic Corporation's NPI number?
The NPI number for Professional Plaza Clinic Corporation is 1992709331. It was assigned to this organization in the NPPES registry on June 13, 2005.
Where is Professional Plaza Clinic Corporation located?
Professional Plaza Clinic Corporation is located at 2395 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 831-2442.
What is Professional Plaza Clinic Corporation's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Professional Plaza Clinic Corporation enrolled in Medicare?
Yes. Professional Plaza Clinic Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Plaza Clinic Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Professional Plaza Clinic Corporation, in General Practice, Internal Medicine, Nurse Practitioner and Podiatry. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Professional Plaza Clinic Corporation 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 Professional Plaza Clinic Corporation 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 Professional Plaza Clinic Corporation was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Professional Plaza Clinic Corporation · NPI 1992709331
Legal Medicine organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1992709331 (Entity type: Organization)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Andrea Mcbride, CEO/PRESIDENT
## Practice location
- **Address:** 2395 W GRAND BLVD, Detroit, MI 48208-1210
- **Phone:** (313) 831-2442 · **Fax:** (313) 831-2444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), General Practice (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992709331) · Data from the CMS NPPES public registry.