Great Lakes Medical Group PC
NPI 1053787853 · Internal Medicine Physician · Eastpointe, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Medical Group PC is a Internal Medicine Physician organization in Eastpointe, MI (NPI 1053787853).
Provider details
- NPI number
- 1053787853
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohamad Rahbar, President(313) 418-9952
- License
- 5315012655 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-15
- Last updated
- 2015-08-15
Frequently asked questions
- What is Great Lakes Medical Group PC's NPI number?
- Great Lakes Medical Group PC's National Provider Identifier (NPI) is 1053787853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Medical Group PC?
- Great Lakes Medical Group PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Medical Group PC located?
- Great Lakes Medical Group PC's practice location on file with NPPES is 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449.
- What is Great Lakes Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Medical Group PC is (313) 418-9952.
- Does Great Lakes Medical Group PC accept Medicare?
- Great Lakes Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Medical Group PC?
- The authorized official listed on Great Lakes Medical Group PC's NPPES record is Mohamad Rahbar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Medical Group PC's NPI active?
- Yes — Great Lakes Medical Group PC's NPI (1053787853) is active in the NPPES registry as of the last update on 2015-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.