ASCENSION MEDICAL GROUP MICHIGAN
NPI 1174537500
Family Medicine in Warren, MI

NPI Status: Active since July 28, 2006

Contact Information

11900 E 12 MILE RD STE 210
WARREN, MI
ZIP 48093
Phone: (586) 582-7100
Fax: (586) 582-7101

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  • Organization
  • Family Medicine
  • Accepts Insurance

About ASCENSION MEDICAL GROUP MICHIGAN

This page provides the complete NPI Profile along with additional information for Ascension Medical Group Michigan, a primary care provider established in Warren, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174537500 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated April 2025. Ascension Medical Group Michigan operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Rachel R Perry (Manager)

NPI
1174537500
Provider Legal Name
ASCENSION MEDICAL GROUP MICHIGAN
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
11900 E 12 MILE RD STE 210 WARREN, MI 48093
Location Phone
(586) 582-7100
Location Fax
(586) 582-7101
Mailing Address
PO BOX 14129 BELFAST, ME 04915
Mailing Phone
(248) 680-8000
Mailing Fax
(586) 582-7101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2006
Last Update Date
04-16-2025
Code Navigator

A primary care provider (PCP) like Ascension Medical Group Michigan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 11900 E 12 Mile Rd Ste 301
    Warren, MI 48093
    (586) 573-5600

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

(MI)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

(MI)
3207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

(MI)
4207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

(MI)
5207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

(MI)
6207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

(MI)
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

(MI)
82085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

(MI)
92085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

(MI)
10208600000XAllopathic & Osteopathic Physicians

Surgery

(MI)
11208D00000XAllopathic & Osteopathic Physicians

General Practice

(MI)
12208M00000XAllopathic & Osteopathic Physicians

Hospitalist

(MI)
13363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Metro Detroit HMO Bronze Extra - HMO
  • Blue Cross� Metro Detroit HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL R PERRY

Authorized Official Title
MANAGER
Authorized Official Phone
(248) 221-1918

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
700E012740OTHER (01)MIBCBSM GROUP #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174537500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441031450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 3 + 1 + 4 + 5 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1174537500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356904734 ROBERTO VELAZQUEZ
Individual
Student in an Organized Health Care Education/Training Program11900 E 12 MILE RD STE 210
WARREN, MI 48093
(586) 582-7102
1881258945DR. SACHA DARIANA CLARK DDS
Individual
Student in an Organized Health Care Education/Training Program11900 E 12 MILE RD STE 210
WARREN, MI 48093
(586) 582-7102
1861002719 JONATTAN EDUARDO ANGULO DDS
Individual
Oral & Maxillofacial Surgery11900 E 12 MILE RD STE 210
WARREN, MI 48093
(586) 582-7100
1548041817 YUSRA AL RIYAMI
Individual
Student in an Organized Health Care Education/Training Program11900 E 12 MILE RD STE 210
WARREN, MI 48093
(586) 582-7100
1447080569 SAMI ALOTAIBI
Individual
Student in an Organized Health Care Education/Training Program11900 E 12 MILE RD STE 210
WARREN, MI 48093
(586) 582-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174537500, enumerated in the NPI registry as an "organization" on July 28, 2006

The provider is located at 11900 E 12 Mile Rd Ste 210 Warren, Mi 48093 and the phone number is (586) 582-7100

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.