Patient Diagnostics PLLC
NPI 1063107738 · Internal Medicine Physician · West Bloomfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patient Diagnostics PLLC is a Internal Medicine Physician organization in West Bloomfield, MI (NPI 1063107738).
Provider details
- NPI number
- 1063107738
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Tisdale, Ceo & Medical Director(248) 469-5646
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Health & Wellness Coach171400000X
Other Service Providers
Allopathic & Osteopathic Physicians
- Pharmacist183500000X
Pharmacy Service Providers
- Hypertension Specialist Physician207RH0005X
Allopathic & Osteopathic Physicians
- Clinical Informatics Physician2083C0008X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-04-10
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Frequently asked questions
- What is Patient Diagnostics PLLC's NPI number?
- Patient Diagnostics PLLC's National Provider Identifier (NPI) is 1063107738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patient Diagnostics PLLC?
- Patient Diagnostics PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Patient Diagnostics PLLC located?
- Patient Diagnostics PLLC's practice location on file with NPPES is 6510 Legacy Woods Trl, West Bloomfield, MI 48322-4804.
- What is Patient Diagnostics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Patient Diagnostics PLLC is (248) 469-5646.
- Does Patient Diagnostics PLLC accept Medicare?
- Patient Diagnostics PLLC 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 Patient Diagnostics PLLC?
- The authorized official listed on Patient Diagnostics PLLC's NPPES record is Nicholas Tisdale, Ceo & Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patient Diagnostics PLLC's NPI active?
- Yes — Patient Diagnostics PLLC's NPI (1063107738) is active in the NPPES registry as of the last update on 2023-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.